| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.76 | $32.40 | $531.33 | |
Aetna
| Professional | $21.61 | $159.31 | $440.93 | |
Anthem BCBS
| Professional | $27.62 | $38.00 | $495.35 | |
Cigna
| Professional | $21.61 | $71.15 | $566.75 | |
Medica
| Facility | $21.61 | $95.38 | $779.15 | |
Medica
| Professional | $77.26 | $257.14 | $2,483.07 | |
United
| Professional | $19.94 | $236.87 | $332.36 |