| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $461.51 | $728.32 | |
Anthem BCBS
| Professional | $29.95 | $35.24 | $75.70 | |
Cigna
| Professional | $170.98 | $170.98 | $170.98 | |
Medica
| Facility | $194.73 | $700.99 | $1,236.84 | |
Medica
| Professional | $59.28 | $82.06 | $3,407.99 | |
United
| Professional | $59.28 | $82.06 | $702.07 |