| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.65 | $94.96 | $149.91 | |
Aetna
| Professional | $30.36 | $61.57 | $194.87 | |
Anthem BCBS
| Professional | $39.19 | $52.84 | $88.57 | |
Cigna
| Professional | $37.86 | $38.77 | $38.77 | |
Medica
| Facility | $50.65 | $94.96 | $212.71 | |
Medica
| Professional | $33.58 | $47.40 | $637.82 | |
United
| Professional | $31.60 | $47.32 | $71.84 |