| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.86 | $19.86 | $39.10 | |
Aetna
| Professional | $19.86 | $30.17 | $39.10 | |
Anthem BCBS
| Professional | $84.51 | $108.56 | $175.00 | |
Cigna
| Professional | $15.91 | $55.21 | $202.03 | |
Medica
| Facility | $19.86 | $40.72 | $133.47 | |
Medica
| Professional | $49.50 | $112.90 | $246.18 | |
United
| Professional | $46.12 | $96.94 | $200.58 |