| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.85 | $87.31 | $105.59 | |
Anthem BCBS
| Professional | $54.15 | $62.12 | $99.28 | |
Cigna
| Professional | $50.13 | $51.33 | $51.33 | |
Medica
| Facility | $76.34 | $103.60 | $203.72 | |
Medica
| Professional | $41.77 | $53.35 | $163.02 | |
United
| Professional | $41.77 | $53.35 | $76.34 |