| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.80 | $97.18 | $125.11 | |
Anthem BCBS
| Professional | $54.19 | $69.16 | $111.51 | |
Cigna
| Professional | $56.30 | $57.66 | $57.66 | |
Medica
| Facility | $85.75 | $116.38 | $228.83 | |
Medica
| Professional | $46.92 | $59.93 | $183.11 | |
United
| Professional | $46.92 | $59.93 | $85.97 |