| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.51 | $111.61 | $136.31 | |
BCBS
| Professional | $65.34 | $65.34 | $65.34 | |
Cigna
| Professional | $68.73 | $68.73 | $68.73 | |
Medica
| Facility | $106.32 | $119.95 | $171.38 | |
Medica
| Professional | $47.63 | $71.45 | $897.48 | |
United
| Professional | $47.63 | $69.06 | $91.49 |