| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.90 | $80.09 | $97.83 | |
BCBS
| Professional | $63.44 | $63.44 | $63.44 | |
Cigna
| Professional | $49.33 | $49.33 | $49.33 | |
Medica
| Facility | $76.31 | $86.09 | $164.03 | |
Medica
| Professional | $34.18 | $51.28 | $553.72 | |
United
| Professional | $34.18 | $49.67 | $65.65 |