| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.15 | $63.52 | $109.62 | |
Aetna
| Professional | $32.50 | $41.11 | $50.56 | |
Anthem BCBS
| Facility | $47.25 | $49.61 | $218.11 | |
Anthem BCBS
| Professional | $28.35 | $50.39 | $87.07 | |
Cigna
| Facility | $50.63 | $99.10 | $200.80 | |
Cigna
| Professional | $21.47 | $44.84 | $61.11 | |
Medica
| Facility | $41.11 | $59.06 | $417.95 | |
Medica
| Professional | $19.85 | $28.35 | $236.25 | |
United
| Facility | $47.25 | $56.70 | $70.88 | |
United
| Professional | $19.85 | $28.35 | $53.44 |