| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.97 | $67.94 | $145.41 | |
Aetna
| Professional | $50.95 | $73.76 | $98.79 | |
Anthem BCBS
| Professional | $67.00 | $84.06 | $138.69 | |
Cigna
| Professional | $72.01 | $128.85 | $155.09 | |
Medica
| Facility | $73.97 | $172.97 | $363.31 | |
Medica
| Professional | $76.63 | $85.83 | $144.90 | |
United
| Professional | $76.63 | $92.03 | $151.44 |