| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.05 | $95.60 | $98.93 | |
BCBS
| Professional | $111.16 | $111.16 | $111.16 | |
Cigna
| Professional | $51.66 | $51.66 | $51.66 | |
Medica
| Facility | $85.60 | $95.60 | $146.00 | |
Medica
| Professional | $35.79 | $60.52 | $128.52 | |
United
| Professional | $35.79 | $49.85 | $77.03 |