| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.67 | $57.44 | $94.88 | |
Anthem BCBS
| Professional | $41.99 | $70.17 | $121.03 | |
Cigna
| Professional | $30.10 | $69.54 | $156.01 | |
Medica
| Facility | $24.67 | $64.98 | $154.16 | |
Medica
| Professional | $63.07 | $95.56 | $539.48 | |
United
| Professional | $61.72 | $84.82 | $150.61 |