| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.95 | $63.18 | $109.04 | |
Aetna
| Professional | $35.72 | $40.89 | $54.05 | |
Anthem BCBS
| Professional | $28.20 | $47.07 | $83.24 | |
Cigna
| Facility | $64.73 | $90.76 | $112.03 | |
Cigna
| Professional | $54.64 | $54.64 | $54.64 | |
Medica
| Facility | $39.95 | $56.40 | $223.25 | |
Medica
| Professional | $19.73 | $28.20 | $234.06 | |
United
| Professional | $19.73 | $28.20 | $53.16 |