| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.21 | $107.79 | $107.79 | |
Aetna
| Professional | $44.72 | $53.83 | $77.84 | |
Anthem BCBS
| Professional | $52.98 | $63.72 | $112.15 | |
Cigna
| Professional | $61.77 | $86.12 | $147.01 | |
Medica
| Facility | $46.92 | $77.04 | $122.00 | |
Medica
| Professional | $58.59 | $81.27 | $404.24 | |
United
| Professional | $56.52 | $72.89 | $110.33 |