| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.20 | $120.27 | $137.22 | |
BCBS
| Professional | $154.19 | $154.19 | $154.19 | |
Cigna
| Professional | $63.92 | $63.92 | $63.92 | |
Medica
| Facility | $117.67 | $132.60 | $202.48 | |
Medica
| Professional | $44.29 | $83.93 | $178.26 | |
United
| Professional | $44.29 | $66.44 | $95.32 |