| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.42 | $40.42 | $79.44 | |
Aetna
| Professional | $40.42 | $61.30 | $79.44 | |
Anthem BCBS
| Professional | $56.20 | $63.74 | $112.07 | |
Cigna
| Facility | $71.95 | $71.95 | $71.95 | |
Cigna
| Professional | $300.91 | $300.91 | $300.91 | |
Medica
| Facility | $40.42 | $79.44 | $137.26 | |
Medica
| Professional | $62.36 | $77.13 | $334.80 | |
United
| Professional | $59.12 | $74.26 | $120.60 |