| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.90 | $95.60 | $104.49 | |
BCBS
| Professional | $35.03 | $35.03 | $35.03 | |
Cigna
| Professional | $51.66 | $51.66 | $51.66 | |
Medica
| Facility | $79.90 | $90.14 | $128.79 | |
Medica
| Professional | $35.79 | $53.69 | $714.58 | |
United
| Professional | $35.79 | $53.69 | $68.75 |