| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.77 | $51.31 | $76.97 | |
Aetna
| Professional | $51.31 | $51.31 | $76.95 | |
Anthem BCBS
| Professional | $20.52 | $51.31 | $90.88 | |
Cigna
| Facility | $70.67 | $99.08 | $122.29 | |
Cigna
| Professional | $51.31 | $51.31 | $54.05 | |
Medica
| Facility | $51.31 | $61.57 | $243.72 | |
Medica
| Professional | $21.55 | $30.79 | $255.52 | |
United
| Professional | $21.55 | $30.79 | $57.98 |