| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.25 | $53.88 | $147.19 | |
Aetna
| Professional | $14.98 | $34.26 | $81.73 | |
Anthem BCBS
| Professional | $15.00 | $23.00 | $64.52 | |
Cigna
| Facility | $55.00 | $68.00 | $85.00 | |
Cigna
| Professional | $25.19 | $54.83 | $114.34 | |
Medica
| Facility | $29.98 | $44.40 | $107.50 | |
Medica
| Professional | $28.87 | $42.95 | $309.81 | |
United
| Professional | $28.87 | $42.07 | $68.20 |