| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.45 | $32.34 | $55.82 | |
Aetna
| Professional | $20.45 | $20.93 | $51.78 | |
Anthem BCBS
| Facility | $24.06 | $25.26 | $111.06 | |
Anthem BCBS
| Professional | $9.61 | $16.89 | $47.46 | |
Cigna
| Facility | $23.29 | $50.47 | $97.76 | |
Cigna
| Professional | $10.28 | $22.91 | $34.59 | |
Medica
| Facility | $17.52 | $34.79 | $114.29 | |
Medica
| Professional | $10.11 | $14.44 | $27.21 | |
United
| Professional | $10.11 | $14.44 | $28.87 |