| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.42 | $39.86 | $99.80 | |
Aetna
| Professional | $24.03 | $27.42 | $32.63 | |
Anthem BCBS
| Facility | $28.27 | $29.68 | $130.49 | |
Anthem BCBS
| Professional | $13.96 | $20.94 | $46.05 | |
Cigna
| Facility | $32.17 | $53.23 | $67.81 | |
Cigna
| Professional | $14.86 | $14.86 | $29.54 | |
Medica
| Facility | $22.05 | $44.38 | $134.28 | |
Medica
| Professional | $11.87 | $20.94 | $34.36 | |
United
| Professional | $11.87 | $20.94 | $35.52 |