| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.24 | $65.31 | $85.87 | |
Anthem BCBS
| Professional | $45.14 | $47.39 | $75.76 | |
Cigna
| Professional | $38.24 | $39.15 | $39.15 | |
Medica
| Facility | $58.24 | $80.72 | $154.71 | |
Medica
| Professional | $31.87 | $40.70 | $124.38 | |
United
| Professional | $31.87 | $40.70 | $58.24 |