| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $140.46 | $167.71 | |
Aetna
| Professional | $66.95 | $81.98 | $106.33 | |
Anthem BCBS
| Professional | $76.72 | $101.21 | $156.40 | |
Cigna
| Professional | $82.13 | $120.69 | $175.91 | |
Medica
| Facility | $66.95 | $92.03 | $171.31 | |
Medica
| Professional | $90.81 | $137.90 | $636.69 | |
United
| Professional | $87.77 | $122.71 | $170.96 |