| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.93 | $40.14 | $50.40 | |
Anthem BCBS
| Professional | $34.60 | $44.74 | $46.64 | |
Cigna
| Facility | $39.90 | $39.90 | $39.90 | |
Cigna
| Professional | $33.92 | $39.90 | $47.93 | |
Medica
| Facility | $27.93 | $55.24 | $286.32 | |
Medica
| Professional | $25.11 | $33.90 | $62.43 | |
United
| Professional | $25.11 | $33.90 | $62.99 |