| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.99 | $79.63 | $95.18 | |
Anthem BCBS
| Professional | $42.26 | $56.66 | $91.39 | |
Cigna
| Professional | $46.14 | $47.24 | $47.24 | |
Medica
| Facility | $70.26 | $95.35 | $187.49 | |
Medica
| Professional | $38.45 | $49.10 | $150.05 | |
United
| Professional | $38.45 | $49.10 | $65.76 |