| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.75 | $33.61 | $58.00 | |
Aetna
| Professional | $19.00 | $21.75 | $24.25 | |
Anthem BCBS
| Professional | $24.24 | $28.92 | $38.97 | |
Cigna
| Facility | $25.52 | $47.06 | $59.96 | |
Cigna
| Professional | $28.78 | $28.78 | $28.78 | |
Medica
| Facility | $21.75 | $30.00 | $118.75 | |
Medica
| Professional | $10.50 | $15.00 | $125.00 | |
United
| Professional | $10.50 | $15.00 | $28.28 |