| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.94 | $22.94 | $22.94 | |
Aetna
| Professional | $19.00 | $26.58 | $390.00 | |
Anthem BCBS
| Professional | $16.57 | $30.86 | $51.52 | |
Cigna
| Professional | $19.00 | $20.00 | $37.71 | |
Medica
| Facility | $18.73 | $19.57 | $37.04 | |
Medica
| Professional | $32.00 | $49.42 | $178.47 | |
United
| Professional | $29.65 | $43.08 | $72.83 |