| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.44 | $43.21 | $155.77 | |
Aetna
| Professional | $20.13 | $23.04 | $23.38 | |
Anthem BCBS
| Facility | $25.81 | $27.10 | $119.14 | |
Anthem BCBS
| Professional | $12.74 | $21.29 | $69.43 | |
Cigna
| Facility | $34.13 | $54.15 | $144.44 | |
Cigna
| Professional | $14.92 | $26.35 | $38.71 | |
Medica
| Facility | $23.23 | $41.45 | $189.39 | |
Medica
| Professional | $10.84 | $19.12 | $32.43 | |
United
| Professional | $10.84 | $21.24 | $32.43 |