| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.90 | $73.90 | $77.16 | |
BCBS
| Professional | $86.76 | $102.43 | $103.90 | |
Cigna
| Professional | $102.38 | $103.40 | $130.02 | |
Medica
| Facility | $73.90 | $77.16 | $92.79 | |
Medica
| Professional | $32.00 | $36.97 | $492.53 | |
United
| Professional | $30.06 | $36.68 | $116.46 |