| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.93 | $145.22 | $175.24 | |
Anthem BCBS
| Professional | $171.02 | $207.90 | $249.15 | |
Cigna
| Professional | $167.45 | $203.93 | $237.68 | |
Medica
| Facility | $141.91 | $207.82 | $906.80 | |
Medica
| Professional | $180.58 | $234.98 | $384.95 | |
United
| Professional | $180.58 | $244.48 | $334.05 |