| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.98 | $104.41 | $137.30 | |
Aetna
| Professional | $45.27 | $68.65 | $109.30 | |
Anthem BCBS
| Professional | $42.61 | $50.13 | $88.08 | |
Medica
| Facility | $45.27 | $93.71 | $166.82 | |
Medica
| Professional | $77.33 | $118.67 | $463.54 | |
United
| Professional | $74.05 | $105.11 | $185.74 |