| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.13 | $95.50 | $107.15 | |
BCBS
| Professional | $72.44 | $72.44 | $72.44 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
Medica
| Facility | $79.43 | $89.13 | $128.82 | |
Medica
| Professional | $35.48 | $53.70 | $630.96 | |
United
| Professional | $35.48 | $51.29 | $67.61 |