| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.34 | $33.75 | $58.23 | |
Aetna
| Professional | $21.34 | $24.35 | $35.09 | |
Anthem BCBS
| Facility | $25.10 | $26.36 | $115.86 | |
Anthem BCBS
| Professional | $16.71 | $34.42 | $52.84 | |
Cigna
| Facility | $28.48 | $47.26 | $61.20 | |
Cigna
| Professional | $29.20 | $36.40 | $36.40 | |
Medica
| Facility | $21.34 | $30.12 | $61.37 | |
Medica
| Professional | $10.54 | $16.71 | $125.50 | |
United
| Professional | $10.54 | $15.06 | $29.27 |