| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.26 | $69.31 | $107.60 | |
Anthem BCBS
| Professional | $39.71 | $69.76 | $131.75 | |
Cigna
| Professional | $30.26 | $72.61 | $165.82 | |
Medica
| Facility | $24.57 | $77.36 | $165.96 | |
Medica
| Professional | $66.15 | $107.83 | $650.54 | |
United
| Professional | $29.41 | $82.80 | $126.08 |