| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.75 | $53.63 | $69.31 | |
Aetna
| Professional | $28.75 | $35.51 | $50.07 | |
Anthem BCBS
| Professional | $31.82 | $40.65 | $71.40 | |
Cigna
| Professional | $37.15 | $53.24 | $76.18 | |
Medica
| Facility | $29.46 | $38.60 | $72.80 | |
Medica
| Professional | $36.74 | $52.64 | $685.57 | |
United
| Professional | $36.25 | $49.23 | $72.75 |