| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $123.03 | |
Aetna
| Professional | $56.23 | $66.07 | $123.03 | |
Anthem BCBS
| Professional | $61.66 | $72.44 | $117.49 | |
BCBS
| Professional | $63.10 | $67.61 | $93.33 | |
Cigna
| Professional | $70.79 | $95.50 | $154.88 | |
Medica
| Facility | $54.95 | $81.28 | $151.36 | |
Medica
| Professional | $67.61 | $93.33 | $467.74 | |
United
| Professional | $63.10 | $83.18 | $123.03 |