| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.44 | $85.11 | $114.82 | |
BCBS
| Professional | $72.44 | $72.44 | $72.44 | |
Cigna
| Professional | $48.98 | $48.98 | $48.98 | |
Medica
| Facility | $75.86 | $81.28 | $123.03 | |
Medica
| Professional | $33.88 | $51.29 | $549.54 | |
United
| Professional | $33.88 | $50.12 | $66.07 |