| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.66 | $54.00 | $65.76 | |
BCBS
| Facility | $20.51 | $20.51 | $22.56 | |
BCBS
| Professional | $57.27 | $57.27 | $68.38 | |
Cigna
| Professional | $33.32 | $33.32 | $33.32 | |
Medica
| Facility | $34.18 | $63.21 | $83.45 | |
Medica
| Professional | $32.02 | $34.63 | $391.18 | |
United
| Professional | $32.02 | $34.63 | $49.68 |