| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $22.91 | $79.43 | |
Anthem BCBS
| Professional | $11.75 | $22.91 | $37.15 | |
BCBS
| Professional | $22.39 | $36.31 | $39.81 | |
Cigna
| Professional | $22.39 | $22.39 | $22.39 | |
Medica
| Facility | $21.88 | $29.51 | $91.20 | |
Medica
| Professional | $15.85 | $29.51 | $245.47 | |
United
| Facility | $12.02 | $12.02 | $12.02 | |
United
| Professional | $14.79 | $25.70 | $52.48 |