| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.83 | $47.18 | $81.41 | |
Aetna
| Professional | $26.67 | $30.53 | $40.35 | |
Anthem BCBS
| Facility | $35.09 | $36.84 | $161.97 | |
Anthem BCBS
| Professional | $19.10 | $28.75 | $63.39 | |
Cigna
| Facility | $49.54 | $73.61 | $84.17 | |
Cigna
| Professional | $40.46 | $40.46 | $40.46 | |
Medica
| Facility | $29.83 | $42.11 | $166.68 | |
Medica
| Professional | $14.74 | $21.05 | $175.45 | |
United
| Facility | $31.58 | $31.58 | $42.11 | |
United
| Professional | $14.74 | $21.05 | $42.11 |