| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $40.74 | |
Aetna
| Professional | $33.11 | $40.74 | $52.48 | |
Anthem BCBS
| Professional | $44.67 | $48.98 | $64.57 | |
BCBS
| Professional | $41.69 | $75.86 | $134.90 | |
Cigna
| Professional | $64.57 | $64.57 | $64.57 | |
Medica
| Facility | $35.48 | $48.98 | $109.65 | |
Medica
| Professional | $45.71 | $66.07 | $407.38 | |
United
| Facility | $69.18 | $69.18 | $69.18 | |
United
| Professional | $42.66 | $57.54 | $85.11 |