| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.99 | $123.26 | $144.94 | |
BCBS
| Professional | $198.88 | $198.88 | $198.88 | |
Cigna
| Professional | $63.92 | $63.92 | $63.92 | |
Medica
| Facility | $109.25 | $123.26 | $176.11 | |
Medica
| Professional | $48.95 | $73.42 | $871.65 | |
United
| Professional | $44.29 | $73.42 | $94.00 |