| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.84 | $90.09 | $102.37 | |
BCBS
| Professional | $63.44 | $63.44 | $63.44 | |
Cigna
| Professional | $51.62 | $51.62 | $51.62 | |
Medica
| Facility | $79.84 | $91.49 | $169.00 | |
Medica
| Professional | $35.77 | $53.66 | $784.22 | |
United
| Professional | $35.77 | $53.66 | $71.54 |