| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.04 | $26.20 | $26.20 | |
BCBS
| Professional | $23.66 | $27.94 | $28.34 | |
Cigna
| Professional | $36.38 | $36.74 | $46.20 | |
Medica
| Facility | $21.04 | $21.04 | $31.27 | |
Medica
| Professional | $10.09 | $12.47 | $167.01 | |
United
| Professional | $9.88 | $12.62 | $41.28 |