| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.38 | $73.38 | $90.54 | |
Aetna
| Professional | $73.38 | $88.27 | $112.95 | |
Anthem BCBS
| Professional | $93.48 | $97.78 | $146.15 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Medica
| Facility | $77.05 | $98.74 | $196.66 | |
Medica
| Professional | $91.00 | $129.16 | $661.36 | |
United
| Professional | $91.00 | $126.58 | $179.70 |