| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $48.98 | |
Aetna
| Professional | $23.99 | $38.90 | $48.98 | |
Anthem BCBS
| Professional | $22.39 | $26.92 | $39.81 | |
BCBS
| Professional | $39.81 | $39.81 | $39.81 | |
Cigna
| Facility | $91.20 | $91.20 | $102.33 | |
Medica
| Facility | $25.12 | $57.54 | $190.55 | |
Medica
| Professional | $40.74 | $66.07 | $309.03 | |
United
| Facility | $27.54 | $28.84 | $117.49 | |
United
| Professional | $39.81 | $63.10 | $97.72 |