| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.21 | $19.21 | $19.21 | |
Aetna
| Professional | $14.34 | $16.73 | $21.59 | |
Anthem BCBS
| Professional | $15.92 | $24.51 | $37.68 | |
Cigna
| Facility | $50.00 | $50.00 | $65.00 | |
Cigna
| Professional | $12.17 | $20.70 | $61.35 | |
Medica
| Facility | $15.12 | $18.57 | $31.92 | |
Medica
| Professional | $18.39 | $23.73 | $142.72 | |
United
| Facility | $24.58 | $24.58 | $24.58 | |
United
| Professional | $17.00 | $21.91 | $38.40 |