| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $18.20 | $128.82 | |
Anthem BCBS
| Professional | $38.90 | $117.49 | $154.88 | |
BCBS
| Professional | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $19.05 | $21.88 | $38.02 | |
Medica
| Facility | $15.14 | $125.89 | $213.80 | |
Medica
| Professional | $23.99 | $147.91 | $812.83 | |
United
| Facility | $23.99 | $23.99 | $29.51 | |
United
| Professional | $23.99 | $134.90 | $234.42 |