| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.60 | $256.92 | $546.14 | |
Aetna
| Professional | $19.00 | $25.20 | $93.93 | |
Anthem BCBS
| Professional | $15.79 | $27.79 | $77.87 | |
Cigna
| Facility | $37.96 | $73.67 | $191.13 | |
Cigna
| Professional | $18.12 | $38.71 | $58.88 | |
Medica
| Facility | $25.58 | $77.76 | $183.18 | |
Medica
| Professional | $19.57 | $23.95 | $47.11 | |
United
| Professional | $19.22 | $24.31 | $50.80 |