| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $42.66 | $47.86 | |
BCBS
| Professional | $50.12 | $50.12 | $50.12 | |
Cigna
| Professional | $24.55 | $24.55 | $24.55 | |
Medica
| Facility | $36.31 | $42.66 | $67.61 | |
Medica
| Professional | $16.98 | $27.54 | $57.54 | |
United
| Facility | $25.70 | $25.70 | $25.70 | |
United
| Professional | $16.98 | $25.12 | $36.31 |