| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.28 | $60.16 | $105.56 | |
Aetna
| Professional | $16.71 | $60.94 | $77.34 | |
Aetna
| Professional | 25 | $14.48 | $70.06 | $76.20 |
Anthem BCBS
| Professional | $54.40 | $64.64 | $104.72 | |
Cigna
| Professional | $61.67 | $99.62 | $139.55 | |
Medica
| Facility | $67.91 | $158.83 | $336.07 | |
Medica
| Professional | $57.00 | $69.13 | $113.17 | |
United
| Professional | $57.00 | $71.81 | $114.96 |