| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $66.07 | |
Aetna
| Professional | $52.48 | $66.07 | $79.43 | |
Anthem BCBS
| Professional | $67.61 | $74.13 | $95.50 | |
BCBS
| Professional | $66.07 | $117.49 | $199.53 | |
Cigna
| Professional | $95.50 | $95.50 | $95.50 | |
Medica
| Facility | $57.54 | $77.62 | $162.18 | |
Medica
| Professional | $69.18 | $100.00 | $588.84 | |
United
| Facility | $102.33 | $102.33 | $102.33 | |
United
| Professional | $64.57 | $89.13 | $128.82 |