| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.75 | $47.05 | $81.20 | |
Aetna
| Professional | $26.60 | $30.45 | $40.25 | |
Anthem BCBS
| Facility | $35.00 | $36.75 | $161.56 | |
Anthem BCBS
| Professional | $14.00 | $31.15 | $62.42 | |
Cigna
| Facility | $52.55 | $74.20 | $269.22 | |
Cigna
| Professional | $15.96 | $33.22 | $45.25 | |
Medica
| Facility | $30.45 | $42.00 | $166.25 | |
Medica
| Professional | $14.70 | $21.00 | $175.00 | |
United
| Professional | $14.70 | $21.00 | $39.59 |