| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.46 | $101.43 | $147.36 | |
Aetna
| Professional | $63.09 | $85.94 | $146.80 | |
Aetna
| Professional | 25 | $20.57 | $101.30 | $101.95 |
Anthem BCBS
| Professional | $72.34 | $90.00 | $143.76 | |
Cigna
| Professional | $89.23 | $131.26 | $202.28 | |
Medica
| Facility | $98.71 | $230.79 | $487.47 | |
Medica
| Professional | $75.54 | $92.75 | $149.19 | |
United
| Facility | $76.05 | $76.05 | $76.05 | |
United
| Professional | $74.45 | $101.65 | $154.19 |