| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.86 | $64.86 | $100.94 | |
Aetna
| Professional | $64.86 | $66.38 | $75.23 | |
Anthem BCBS
| Professional | $84.95 | $157.91 | $157.91 | |
Cigna
| Facility | $56.50 | $56.50 | $56.50 | |
Cigna
| Professional | $41.25 | $41.25 | $58.20 | |
Medica
| Facility | $59.84 | $106.46 | $638.99 | |
Medica
| Professional | $62.50 | $78.17 | $185.28 | |
United
| Professional | $61.44 | $78.06 | $146.28 |