| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.51 | $38.28 | $54.85 | |
Aetna
| Professional | $23.51 | $30.82 | $57.99 | |
Anthem BCBS
| Professional | $23.57 | $29.61 | $50.96 | |
Cigna
| Professional | $28.02 | $28.02 | $28.02 | |
Medica
| Facility | $29.25 | $54.85 | $122.86 | |
Medica
| Professional | $19.39 | $27.38 | $273.35 | |
United
| Professional | $18.26 | $27.38 | $58.92 |