| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $89.13 | $158.49 | |
Aetna
| Professional | $63.10 | $75.86 | $100.00 | |
Anthem BCBS
| Professional | $43.65 | $45.71 | $64.57 | |
Cigna
| Professional | $50.12 | $52.48 | $100.00 | |
Medica
| Facility | $66.07 | $89.13 | $158.49 | |
Medica
| Professional | $37.15 | $52.48 | $93.33 | |
United
| Facility | $42.66 | $42.66 | $42.66 | |
United
| Professional | $37.15 | $52.48 | $85.11 |