| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $89.13 | $102.33 | |
Aetna
| Professional | $34.67 | $43.65 | $66.07 | |
Anthem BCBS
| Professional | $5.01 | $38.90 | $83.18 | |
Cigna
| Facility | $69.18 | $102.33 | $125.89 | |
Cigna
| Professional | $60.26 | $61.66 | $75.86 | |
Medica
| Facility | $45.71 | $91.20 | $251.19 | |
Medica
| Professional | $22.39 | $31.62 | $57.54 | |
United
| Facility | $22.39 | $52.48 | $63.10 | |
United
| Professional | $22.39 | $31.62 | $61.66 |