| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.56 | $100.53 | $137.05 | |
Anthem BCBS
| Professional | $55.40 | $74.28 | $119.78 | |
Cigna
| Professional | $60.47 | $61.92 | $61.92 | |
Medica
| Facility | $92.09 | $124.98 | $244.85 | |
Medica
| Professional | $50.39 | $64.36 | $196.67 | |
United
| Professional | $50.39 | $64.36 | $97.01 |