| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.70 | $66.42 | $68.73 | |
BCBS
| Professional | $77.23 | $77.23 | $77.23 | |
Cigna
| Professional | $37.00 | $37.00 | $37.00 | |
Medica
| Facility | $59.46 | $66.42 | $101.42 | |
Medica
| Professional | $25.64 | $42.04 | $89.29 | |
United
| Professional | $25.64 | $32.04 | $55.17 |