| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.95 | $63.18 | $109.04 | |
Aetna
| Professional | $32.50 | $40.89 | $50.29 | |
Anthem BCBS
| Facility | $47.00 | $49.35 | $216.95 | |
Anthem BCBS
| Professional | $18.80 | $41.83 | $86.62 | |
Cigna
| Facility | $34.92 | $98.58 | $138.51 | |
Cigna
| Professional | $21.47 | $44.67 | $60.65 | |
Medica
| Facility | $40.89 | $58.75 | $225.86 | |
Medica
| Professional | $19.73 | $28.20 | $235.00 | |
United
| Professional | $19.73 | $28.20 | $53.16 |