| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.62 | $17.80 | $20.62 | |
BCBS
| Professional | $21.55 | $21.55 | $21.55 | |
Cigna
| Professional | $9.44 | $9.44 | $9.44 | |
Medica
| Facility | $14.62 | $16.48 | $22.99 | |
Medica
| Professional | $6.55 | $9.82 | $124.05 | |
United
| Professional | $6.55 | $9.82 | $13.16 |