| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.90 | $76.00 | $85.11 | |
Aetna
| Professional | $57.90 | $57.90 | $72.38 | |
Anthem BCBS
| Facility | $65.75 | $102.54 | $158.76 | |
Anthem BCBS
| Professional | $54.29 | $60.32 | $72.38 | |
Cigna
| Facility | $61.52 | $61.52 | $72.38 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Medica
| Facility | $57.90 | $72.38 | $144.69 | |
Medica
| Professional | $60.32 | $60.32 | $477.55 | |
United
| Professional | $58.51 | $60.32 | $69.37 |