| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.23 | $69.89 | $105.05 | |
Aetna
| Professional | $45.22 | $45.23 | $45.23 | |
Anthem BCBS
| Professional | $18.11 | $31.24 | $89.19 | |
Cigna
| Facility | $63.92 | $94.97 | $107.92 | |
Cigna
| Professional | $22.63 | $48.47 | $66.77 | |
Medica
| Facility | $45.23 | $69.20 | $215.08 | |
Medica
| Professional | $24.90 | $38.45 | $59.48 | |
United
| Professional | $22.64 | $36.64 | $59.48 |