| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $275.42 | $371.54 | |
Aetna
| Professional | $120.23 | $190.55 | $251.19 | |
Anthem BCBS
| Professional | $177.83 | $199.53 | $323.59 | |
Medica
| Facility | $186.21 | $524.81 | $870.96 | |
Medica
| Professional | $165.96 | $218.78 | $380.19 | |
United
| Facility | $199.53 | $245.47 | $323.59 | |
United
| Professional | $177.83 | $218.78 | $371.54 |