| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.88 | $71.28 | $83.67 | |
Anthem BCBS
| Professional | $40.00 | $63.61 | $129.52 | |
Cigna
| Professional | $62.51 | $91.76 | $142.41 | |
Medica
| Facility | $60.71 | $78.44 | $142.84 | |
Medica
| Professional | $62.98 | $96.89 | $575.00 | |
United
| Professional | $62.88 | $89.65 | $145.47 |