| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.67 | $28.68 | $49.23 | |
Aetna
| Professional | $18.67 | $19.57 | $39.24 | |
Anthem BCBS
| Facility | $21.96 | $23.06 | $101.37 | |
Anthem BCBS
| Professional | $10.85 | $18.11 | $59.08 | |
Cigna
| Facility | $29.03 | $46.05 | $122.56 | |
Cigna
| Professional | $12.79 | $22.13 | $32.90 | |
Medica
| Facility | $19.76 | $35.27 | $122.00 | |
Medica
| Professional | $9.22 | $15.64 | $27.61 | |
United
| Professional | $9.22 | $16.27 | $27.61 |