| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.20 | $96.78 | $105.59 | |
BCBS
| Professional | $112.53 | $112.53 | $112.53 | |
Cigna
| Professional | $51.33 | $51.33 | $51.33 | |
Medica
| Facility | $86.64 | $96.78 | $147.76 | |
Medica
| Professional | $35.57 | $61.26 | $130.11 | |
United
| Professional | $35.57 | $44.46 | $76.54 |