| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.43 | $24.08 | $33.65 | |
Aetna
| Professional | $14.43 | $20.52 | $35.59 | |
Anthem BCBS
| Professional | $13.88 | $18.73 | $31.64 | |
Cigna
| Professional | $13.42 | $13.74 | $13.74 | |
Medica
| Facility | $17.95 | $33.65 | $75.39 | |
Medica
| Professional | $11.90 | $16.80 | $256.19 | |
United
| Professional | $11.20 | $16.80 | $24.91 |