| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.80 | $31.39 | $43.87 | |
Aetna
| Professional | $18.80 | $26.74 | $48.46 | |
Anthem BCBS
| Professional | $18.11 | $24.41 | $41.24 | |
Cigna
| Professional | $17.48 | $17.91 | $17.91 | |
Medica
| Facility | $24.35 | $43.90 | $102.41 | |
Medica
| Professional | $15.52 | $21.90 | $394.00 | |
United
| Professional | $14.60 | $21.90 | $50.65 |