| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.56 | $58.13 | $78.64 | |
Anthem BCBS
| Professional | $29.14 | $66.15 | $138.57 | |
Cigna
| Professional | $31.52 | $44.83 | $183.09 | |
Medica
| Facility | 26 | $113.52 | $113.52 | $113.52 |
Medica
| Professional | $39.61 | $90.60 | $425.20 | |
United
| Professional | $39.61 | $64.36 | $117.27 |