| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.23 | $113.23 | $139.91 | |
Aetna
| Professional | $113.23 | $139.91 | $191.71 | |
Anthem BCBS
| Professional | $160.91 | $167.03 | $249.67 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Medica
| Facility | $118.89 | $154.19 | $303.45 | |
Medica
| Professional | $153.62 | $218.59 | $1,105.55 | |
United
| Professional | $149.97 | $217.12 | $306.47 |