| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.77 | $108.64 | $123.45 | |
BCBS
| Professional | $55.00 | $55.00 | $55.00 | |
Cigna
| Professional | $62.26 | $62.26 | $62.26 | |
Medica
| Facility | $96.29 | $110.73 | $155.21 | |
Medica
| Professional | $43.14 | $64.70 | $1,015.07 | |
United
| Professional | $43.14 | $62.69 | $82.85 |