| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.22 | $265.14 | $265.14 | |
Aetna
| Professional | $112.22 | $151.16 | $265.14 | |
Anthem BCBS
| Professional | $178.28 | $240.98 | $298.93 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
Medica
| Facility | $145.29 | $265.14 | $641.64 | |
Medica
| Professional | $104.78 | $144.59 | $1,409.81 | |
United
| Professional | $96.39 | $144.59 | $260.74 |