| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.90 | $32.15 | $49.39 | |
Aetna
| Professional | $20.90 | $27.28 | $49.39 | |
Anthem BCBS
| Professional | $31.09 | $46.32 | $56.80 | |
Cigna
| Professional | $30.86 | $30.86 | $30.86 | |
Medica
| Facility | $28.95 | $51.86 | $115.16 | |
Medica
| Professional | $21.36 | $30.16 | $282.11 | |
United
| Professional | $21.36 | $30.16 | $47.60 |