| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $33.88 | |
Aetna
| Professional | $21.88 | $30.20 | $70.79 | |
Anthem BCBS
| Facility | $58.88 | $58.88 | $208.93 | |
Anthem BCBS
| Professional | $28.84 | $30.20 | $54.95 | |
Cigna
| Facility | $26.92 | $30.90 | $30.90 | |
Cigna
| Professional | $22.39 | $22.39 | $30.90 | |
Medica
| Facility | $27.54 | $45.71 | $263.03 | |
Medica
| Professional | $19.50 | $28.84 | $316.23 | |
United
| Facility | $22.91 | $46.77 | $46.77 | |
United
| Professional | $19.50 | $27.54 | $41.69 |