| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.54 | $70.59 | $111.97 | |
Anthem BCBS
| Professional | $54.05 | $80.84 | $131.38 | |
Cigna
| Professional | $41.41 | $86.45 | $194.11 | |
Medica
| Facility | $33.54 | $84.42 | $178.58 | |
Medica
| Professional | $69.98 | $109.31 | $638.98 | |
United
| Professional | $58.41 | $90.59 | $145.46 |