| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.60 | $86.79 | $102.79 | |
Anthem BCBS
| Professional | $54.67 | $59.27 | $94.74 | |
Cigna
| Professional | $47.82 | $48.97 | $48.97 | |
Medica
| Facility | $72.83 | $98.85 | $193.28 | |
Medica
| Professional | $39.85 | $50.90 | $155.55 | |
United
| Professional | $39.85 | $50.90 | $73.02 |