| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.49 | $31.29 | $31.29 | |
BCBS
| Professional | $32.04 | $37.83 | $38.36 | |
Cigna
| Professional | $43.13 | $43.56 | $54.77 | |
Medica
| Facility | $28.49 | $28.49 | $37.36 | |
Medica
| Professional | $13.66 | $15.53 | $389.75 | |
United
| Professional | $13.39 | $13.66 | $27.31 |