| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.00 | $93.93 | $111.60 | |
Anthem BCBS
| Professional | $22.85 | $26.89 | $54.02 | |
Cigna
| Professional | $45.92 | $45.92 | $45.92 | |
Medica
| Facility | $79.84 | $116.15 | $210.14 | |
Medica
| Professional | $56.70 | $85.05 | $362.37 | |
United
| Professional | $54.00 | $78.75 | $152.15 |