| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $57.54 | $60.26 | |
BCBS
| Professional | $60.26 | $79.43 | $89.13 | |
Cigna
| Professional | $83.18 | $89.13 | $104.71 | |
Medica
| Facility | $53.70 | $60.26 | $102.33 | |
Medica
| Professional | $21.38 | $28.84 | $363.08 | |
United
| Professional | $25.12 | $25.12 | $57.54 |