| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $79.43 | $91.20 | |
Aetna
| Professional | $30.90 | $38.90 | $50.12 | |
Anthem BCBS
| Professional | $28.18 | $33.11 | $74.13 | |
Cigna
| Facility | $61.66 | $91.20 | $112.20 | |
Cigna
| Professional | $54.95 | $54.95 | $54.95 | |
Medica
| Facility | $40.74 | $56.23 | $223.87 | |
Medica
| Professional | $19.95 | $28.18 | $234.42 | |
United
| Facility | $19.95 | $46.77 | $56.23 | |
United
| Professional | $19.95 | $28.18 | $51.29 |