| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $100.00 | $125.89 | |
BCBS
| Professional | $72.44 | $72.44 | $72.44 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Medica
| Facility | $89.13 | $100.00 | $144.54 | |
Medica
| Professional | $39.81 | $60.26 | $851.14 | |
United
| Professional | $39.81 | $57.54 | $75.86 |