| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.53 | $76.95 | $104.29 | |
Anthem BCBS
| Professional | $69.77 | $86.05 | $102.79 | |
Cigna
| Facility | $74.67 | $74.67 | $74.67 | |
Cigna
| Professional | $63.47 | $74.67 | $88.56 | |
Medica
| Facility | $53.53 | $111.70 | $535.95 | |
Medica
| Professional | $47.23 | $64.40 | $132.27 | |
United
| Professional | $45.62 | $64.40 | $104.92 |