| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.78 | $45.52 | $78.56 | |
Aetna
| Professional | $25.73 | $29.46 | $38.94 | |
Anthem BCBS
| Facility | $33.86 | $35.54 | $156.30 | |
Anthem BCBS
| Professional | $13.54 | $27.74 | $62.39 | |
Cigna
| Facility | $46.64 | $65.39 | $80.70 | |
Cigna
| Professional | $39.63 | $39.63 | $39.63 | |
Medica
| Facility | $29.46 | $40.63 | $160.84 | |
Medica
| Professional | $14.22 | $20.32 | $169.30 | |
United
| Professional | $14.22 | $20.32 | $40.63 |