| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.67 | $82.93 | $101.19 | |
Anthem BCBS
| Professional | $62.90 | $82.16 | $131.68 | |
Cigna
| Professional | $42.00 | $92.45 | $161.82 | |
Medica
| Facility | $67.92 | $88.59 | $163.78 | |
Medica
| Professional | $81.20 | $173.07 | $538.17 | |
Qualchoice
| Professional | $120.03 | $120.03 | $120.03 | |
United
| Professional | $68.89 | $102.39 | $173.07 |