| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.25 | $91.55 | $110.46 | |
Anthem BCBS
| Professional | $94.52 | $116.00 | $151.18 | |
Cigna
| Professional | $105.59 | $119.18 | $150.38 | |
Medica
| Facility | $86.41 | $129.85 | $573.72 | |
Medica
| Professional | $105.50 | $136.00 | $222.72 | |
United
| Professional | $105.50 | $137.97 | $173.88 |