| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.25 | $215.87 | $241.02 | |
Anthem BCBS
| Professional | $15.81 | $178.48 | $208.33 | |
Cigna
| Professional | $172.39 | $172.39 | $172.39 | |
Medica
| Facility | $179.25 | $215.87 | $1,141.64 | |
Medica
| Professional | $184.98 | $250.44 | $486.90 | |
United
| Professional | $184.98 | $260.88 | $430.58 |