| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.23 | $63.19 | $97.41 | |
Aetna
| Professional | $41.23 | $58.23 | $97.41 | |
Anthem BCBS
| Professional | $49.58 | $71.34 | $122.61 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
Medica
| Facility | $58.66 | $98.57 | $226.75 | |
Medica
| Professional | $42.06 | $59.38 | $555.50 | |
United
| Professional | $39.58 | $59.38 | $89.45 |