| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.80 | $45.66 | $128.26 | |
Aetna
| Professional | $19.80 | $30.02 | $38.90 | |
Anthem BCBS
| Professional | $36.31 | $42.72 | $77.17 | |
Cigna
| Facility | $211.76 | $333.69 | $409.83 | |
Medica
| Facility | $21.78 | $47.80 | $296.60 | |
Medica
| Professional | $38.34 | $48.78 | $205.10 | |
United
| Professional | $37.94 | $46.99 | $81.38 |