| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.61 | $59.82 | $71.92 | |
Anthem BCBS
| Professional | $37.22 | $43.79 | $69.98 | |
Cigna
| Professional | $35.34 | $36.19 | $36.19 | |
Medica
| Facility | $53.81 | $73.04 | $143.38 | |
Medica
| Professional | $29.45 | $37.61 | $114.92 | |
United
| Professional | $29.45 | $37.61 | $50.37 |