| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.66 | $57.54 | $61.66 | |
BCBS
| Professional | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
Medica
| Facility | $53.70 | $56.23 | $72.44 | |
Medica
| Professional | $21.38 | $33.11 | $363.08 | |
United
| Professional | $21.38 | $32.36 | $45.71 |