| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.86 | $84.01 | $110.48 | |
Aetna
| Professional | $36.43 | $55.24 | $87.96 | |
Anthem BCBS
| Professional | $42.61 | $50.13 | $70.65 | |
Medica
| Facility | $36.43 | $69.39 | $134.22 | |
Medica
| Professional | $61.36 | $95.04 | $372.64 | |
United
| Professional | $59.04 | $84.30 | $145.13 |