| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.00 | $60.88 | $73.56 | |
BCBS
| Professional | $61.16 | $61.16 | $61.16 | |
Cigna
| Professional | $33.32 | $33.32 | $33.32 | |
Medica
| Facility | $57.38 | $62.93 | $77.29 | |
Medica
| Professional | $25.71 | $37.84 | $391.18 | |
United
| Professional | $25.71 | $38.56 | $49.38 |