| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.90 | $79.43 | $89.13 | |
BCBS
| Professional | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $45.71 | $45.71 | $45.71 | |
Medica
| Facility | $67.61 | $75.86 | $117.49 | |
Medica
| Professional | $31.62 | $47.86 | $102.33 | |
United
| Facility | $45.71 | $45.71 | $45.71 | |
United
| Professional | $31.62 | $45.71 | $67.61 |