| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.09 | $65.09 | $65.31 | |
BCBS
| Professional | $73.45 | $86.71 | $87.96 | |
Cigna
| Professional | $90.00 | $90.90 | $114.30 | |
Medica
| Facility | $65.09 | $65.31 | $78.55 | |
Medica
| Professional | $28.86 | $32.31 | $391.18 | |
United
| Professional | $27.12 | $32.31 | $87.42 |