| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $44.67 | $46.77 | |
BCBS
| Professional | $47.86 | $63.10 | $70.79 | |
Cigna
| Professional | $66.07 | $69.18 | $83.18 | |
Medica
| Facility | $42.66 | $47.86 | $79.43 | |
Medica
| Professional | $16.98 | $22.91 | $288.40 | |
United
| Professional | $16.98 | $19.95 | $45.71 |