| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.97 | $47.97 | $74.66 | |
Aetna
| Professional | $47.97 | $49.10 | $55.64 | |
Anthem BCBS
| Professional | $62.07 | $93.66 | $115.22 | |
Cigna
| Facility | $75.05 | $75.05 | $75.05 | |
Cigna
| Professional | $54.79 | $54.79 | $54.79 | |
Medica
| Facility | $44.33 | $78.73 | $472.60 | |
Medica
| Professional | $46.28 | $57.82 | $137.04 | |
United
| Professional | $45.44 | $55.97 | $111.22 |