| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.52 | $52.52 | $64.78 | |
Aetna
| Professional | $52.52 | $63.16 | $80.20 | |
Anthem BCBS
| Professional | $66.92 | $70.16 | $104.89 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Medica
| Facility | $55.15 | $70.44 | $140.75 | |
Medica
| Professional | $64.68 | $92.69 | $472.20 | |
United
| Professional | $63.07 | $86.94 | $128.63 |