| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.00 | $117.00 | $220.32 | |
Aetna
| Professional | $58.45 | $76.88 | $329.00 | |
Aetna
| Professional | CQ | $151.44 | $210.63 | $239.70 |
Anthem BCBS
| Professional | $45.90 | $56.99 | $144.72 | |
Cigna
| Facility | $55.00 | $68.00 | $85.00 | |
Cigna
| Professional | $54.54 | $81.09 | $142.53 | |
Medica
| Facility | $64.66 | $99.94 | $225.88 | |
Medica
| Professional | $59.68 | $78.56 | $158.49 | |
United
| Professional | $58.88 | $76.80 | $124.40 |