| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.00 | $56.37 | $68.15 | |
BCBS
| Professional | $56.65 | $56.65 | $56.65 | |
Cigna
| Professional | $30.85 | $30.85 | $30.85 | |
Medica
| Facility | $53.16 | $56.88 | $71.59 | |
Medica
| Professional | $23.82 | $35.03 | $362.25 | |
United
| Professional | $21.38 | $32.29 | $45.22 |