| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.46 | $64.29 | $67.50 | |
Aetna
| Professional | $16.22 | $16.70 | $64.29 | |
Anthem BCBS
| Facility | $17.68 | $27.57 | $42.69 | |
Anthem BCBS
| Professional | $16.22 | $16.22 | $20.28 | |
Cigna
| Facility | $15.30 | $16.22 | $16.22 | |
Cigna
| Professional | $16.22 | $16.22 | $16.22 | |
Medica
| Facility | $14.46 | $55.51 | $141.51 | |
Medica
| Professional | $5.78 | $14.46 | $26.75 | |
United
| Professional | $6.49 | $16.22 | $20.23 |