| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.67 | $104.76 | $7,070.72 | |
Aetna
| Professional | $45.31 | $46.22 | $75.17 | |
Anthem BCBS
| Facility | $45.31 | $49.39 | $162.75 | |
Anthem BCBS
| Professional | $45.31 | $45.31 | $56.64 | |
Cigna
| Facility | $42.75 | $45.31 | $45.31 | |
Cigna
| Professional | $45.31 | $45.31 | $45.31 | |
Medica
| Facility | $47.80 | $69.50 | $225.65 | |
Medica
| Professional | $43.26 | $47.80 | $55.30 | |
United
| Professional | $45.31 | $45.31 | $81.23 |