| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $30.20 | $128.82 | |
Aetna
| Professional | $19.95 | $19.95 | $19.95 | |
Anthem BCBS
| Professional | $12.59 | $12.59 | $18.20 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 | |
Medica
| Facility | $19.95 | $22.91 | $63.10 | |
Medica
| Professional | $22.39 | $22.39 | $22.39 | |
United
| Professional | $26.30 | $39.81 | $60.26 |