| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.66 | $87.12 | $99.00 | |
BCBS
| Professional | $63.44 | $63.44 | $63.44 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
Medica
| Facility | $77.22 | $87.12 | $157.04 | |
Medica
| Professional | $34.59 | $51.89 | $597.30 | |
United
| Professional | $34.59 | $51.89 | $69.19 |