| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.46 | $54.88 | $63.99 | |
Anthem BCBS
| Professional | $52.47 | $62.05 | $79.50 | |
Cigna
| Professional | $55.95 | $55.95 | $58.19 | |
Medica
| Facility | $46.46 | $72.72 | $116.11 | |
Medica
| Professional | $59.46 | $83.17 | $403.56 | |
United
| Professional | $57.45 | $73.04 | $104.40 |