| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.32 | $103.35 | $124.70 | |
Anthem BCBS
| Professional | $143.90 | $171.00 | $205.07 | |
Cigna
| Professional | $118.03 | $158.16 | $185.64 | |
Medica
| Facility | $117.07 | $148.25 | $685.02 | |
Medica
| Professional | $151.08 | $193.03 | $316.23 | |
United
| Facility | $160.47 | $160.47 | $160.47 | |
United
| Professional | $151.08 | $196.24 | $241.40 |