| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.69 | $62.36 | $73.37 | |
Anthem BCBS
| Professional | $35.51 | $44.59 | $67.50 | |
Cigna
| Professional | $36.13 | $37.00 | $37.00 | |
Medica
| Facility | $55.03 | $74.68 | $146.84 | |
Medica
| Professional | $30.11 | $38.45 | $117.51 | |
United
| Professional | $30.11 | $38.45 | $57.97 |