| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.73 | $85.96 | $101.35 | |
Aetna
| Professional | $81.73 | $100.70 | $361.52 | |
Anthem BCBS
| Professional | $31.16 | $79.70 | $147.47 | |
Cigna
| Professional | $80.97 | $111.69 | $191.94 | |
Medica
| Facility | $81.73 | $111.97 | $201.40 | |
Medica
| Professional | $85.11 | $115.12 | $509.49 | |
United
| Professional | $79.45 | $109.76 | $187.07 |