| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.97 | $61.55 | $160.16 | |
Aetna
| Professional | $37.10 | $42.34 | $50.20 | |
Anthem BCBS
| Facility | $43.65 | $45.83 | $201.49 | |
Anthem BCBS
| Professional | $21.56 | $49.65 | $140.75 | |
Cigna
| Facility | $41.31 | $91.55 | $243.67 | |
Cigna
| Professional | $19.82 | $38.07 | $75.81 | |
Medica
| Facility | $37.97 | $54.65 | $207.34 | |
Medica
| Professional | $18.32 | $35.72 | $218.25 | |
United
| Professional | $18.32 | $30.37 | $59.55 |