| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.44 | $78.19 | $90.87 | |
BCBS
| Professional | $63.44 | $63.44 | $63.44 | |
Cigna
| Professional | $45.83 | $45.83 | $45.83 | |
Medica
| Facility | $70.88 | $79.97 | $150.10 | |
Medica
| Professional | $31.75 | $47.63 | $537.12 | |
United
| Professional | $31.75 | $47.63 | $60.60 |