| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.62 | $29.44 | $50.81 | |
Aetna
| Professional | $18.62 | $19.05 | $23.43 | |
Anthem BCBS
| Facility | $21.90 | $23.00 | $101.09 | |
Anthem BCBS
| Professional | $8.76 | $16.07 | $47.46 | |
Cigna
| Facility | $23.29 | $45.95 | $97.76 | |
Cigna
| Professional | $10.28 | $21.95 | $31.49 | |
Medica
| Facility | $15.95 | $34.38 | $104.03 | |
Medica
| Professional | $9.19 | $13.14 | $24.77 | |
United
| Professional | $9.19 | $13.14 | $26.28 |