| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.73 | $47.73 | $47.92 | |
BCBS
| Professional | $53.89 | $63.62 | $64.53 | |
Cigna
| Professional | $66.00 | $66.66 | $83.82 | |
Medica
| Facility | $47.73 | $47.92 | $57.64 | |
Medica
| Professional | $21.17 | $23.70 | $287.05 | |
United
| Professional | $19.88 | $21.17 | $45.91 |