| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.69 | $98.89 | $114.33 | |
BCBS
| Professional | $63.44 | $63.44 | $63.44 | |
Cigna
| Professional | $57.66 | $57.66 | $57.66 | |
Medica
| Facility | $89.18 | $100.61 | $169.00 | |
Medica
| Professional | $39.95 | $59.93 | $859.86 | |
United
| Professional | $39.95 | $59.93 | $75.86 |