| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.05 | $21.05 | $41.37 | |
Aetna
| Professional | $14.32 | $23.87 | $41.37 | |
Anthem BCBS
| Professional | $61.71 | $75.51 | $136.41 | |
Cigna
| Facility | $40.54 | $40.54 | $40.54 | |
Cigna
| Professional | $46.21 | $48.50 | $58.10 | |
Medica
| Facility | $21.05 | $43.78 | $112.94 | |
Medica
| Professional | $2.94 | $21.22 | $200.67 | |
United
| Professional | $3.33 | $20.50 | $87.04 |