| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.41 | $193.41 | $193.41 | |
Aetna
| Professional | $82.61 | $99.06 | $146.40 | |
Anthem BCBS
| Professional | $106.85 | $129.82 | $201.28 | |
Cigna
| Professional | $113.40 | $154.79 | $250.19 | |
Medica
| Facility | $86.34 | $142.55 | $224.49 | |
Medica
| Professional | $103.68 | $143.71 | $1,082.00 | |
United
| Professional | $101.89 | $128.08 | $190.68 |