| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.27 | $60.27 | $60.49 | |
BCBS
| Professional | $68.01 | $80.29 | $81.44 | |
Cigna
| Professional | $83.25 | $84.08 | $105.73 | |
Medica
| Facility | $60.27 | $60.49 | $72.73 | |
Medica
| Professional | $26.73 | $29.92 | $362.25 | |
United
| Professional | $25.11 | $26.73 | $36.29 |