| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $36.31 | $57.54 | |
Anthem BCBS
| Professional | $47.86 | $60.26 | $74.13 | |
Cigna
| Professional | $40.74 | $50.12 | $61.66 | |
Medica
| Facility | $38.90 | $51.29 | $223.87 | |
Medica
| Professional | $46.77 | $58.88 | $95.50 | |
United
| Professional | $46.77 | $58.88 | $79.43 |