| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.75 | $36.47 | $89.84 | |
Aetna
| Professional | $15.73 | $16.37 | $27.73 | |
Anthem BCBS
| Facility | $24.11 | $25.32 | $111.29 | |
Anthem BCBS
| Professional | $9.64 | $16.64 | $54.60 | |
Cigna
| Facility | $23.92 | $50.57 | $100.67 | |
Cigna
| Professional | $10.57 | $22.91 | $35.11 | |
Medica
| Facility | $17.55 | $32.71 | $188.00 | |
Medica
| Professional | $10.13 | $14.47 | $25.58 | |
United
| Professional | $10.13 | $14.47 | $27.27 |