| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.75 | $60.23 | $60.23 | |
Aetna
| Professional | $57.75 | $60.23 | $70.17 | |
Anthem BCBS
| Professional | $57.31 | $57.31 | $60.18 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $49.22 | $49.22 | |
Medica
| Facility | $45.57 | $70.17 | $316.83 | |
Medica
| Professional | $5.78 | $14.46 | $45.57 | |
United
| Professional | $6.49 | $16.22 | $20.23 |