| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.34 | $114.11 | $118.09 | |
BCBS
| Professional | $132.69 | $132.69 | $132.69 | |
Cigna
| Professional | $60.08 | $60.08 | $60.08 | |
Medica
| Facility | $101.26 | $114.11 | $174.23 | |
Medica
| Professional | $41.63 | $72.23 | $153.41 | |
United
| Professional | $41.63 | $62.35 | $89.59 |