| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.57 | $63.53 | $66.70 | |
Aetna
| Professional | $50.82 | $50.82 | $63.53 | |
Anthem BCBS
| Facility | $56.12 | $90.00 | $201.58 | |
Anthem BCBS
| Professional | $47.65 | $50.82 | $63.53 | |
Cigna
| Facility | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $54.00 | $54.00 | $54.00 | |
Medica
| Facility | $42.57 | $56.12 | $278.80 | |
Medica
| Professional | $52.94 | $52.94 | $61.25 | |
United
| Professional | $52.94 | $52.94 | $62.26 |