| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.85 | $40.72 | $64.34 | |
Aetna
| Professional | $20.00 | $49.50 | $60.21 | |
Anthem BCBS
| Facility | $49.50 | $84.15 | $177.80 | |
Anthem BCBS
| Professional | $44.41 | $44.41 | $50.34 | |
Cigna
| Facility | $48.76 | $48.76 | $48.76 | |
Cigna
| Professional | $48.76 | $48.76 | $48.76 | |
Medica
| Facility | $34.90 | $49.50 | $139.10 | |
Medica
| Professional | $43.54 | $52.10 | $52.66 | |
United
| Professional | $43.54 | $51.38 | $54.43 |