| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.42 | $37.36 | $42.65 | |
Anthem BCBS
| Professional | $14.50 | $24.84 | $68.54 | |
Cigna
| Professional | $23.12 | $23.12 | $23.12 | |
Medica
| Facility | $32.54 | $39.61 | $98.61 | |
Medica
| Professional | $13.64 | $26.38 | $219.85 | |
United
| Professional | $13.64 | $26.38 | $48.10 |