| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $93.33 | $109.65 | |
BCBS
| Professional | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
Medica
| Facility | $85.11 | $97.72 | $151.36 | |
Medica
| Professional | $35.48 | $61.66 | $128.82 | |
United
| Facility | $57.54 | $57.54 | $57.54 | |
United
| Professional | $35.48 | $53.70 | $75.86 |