| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.15 | $57.45 | $178.00 | |
BCBS
| Professional | $71.04 | $83.87 | $85.08 | |
Cigna
| Professional | $61.13 | $61.74 | $77.63 | |
Medica
| Facility | $51.15 | $51.15 | $89.51 | |
Medica
| Professional | $50.40 | $50.69 | $63.36 | |
United
| Professional | $48.00 | $48.00 | $48.00 |