| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.62 | $85.62 | $105.78 | |
Aetna
| Professional | $85.62 | $103.14 | $137.35 | |
Anthem BCBS
| Professional | $115.38 | $119.30 | $178.31 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Medica
| Facility | $89.90 | $115.13 | $229.46 | |
Medica
| Professional | $110.08 | $156.29 | $768.84 | |
United
| Professional | $110.08 | $150.66 | $216.76 |