| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.87 | $111.61 | $152.15 | |
Anthem BCBS
| Professional | $61.50 | $82.46 | $132.96 | |
Cigna
| Professional | $67.13 | $68.73 | $68.73 | |
Medica
| Facility | $102.23 | $138.75 | $272.82 | |
Medica
| Professional | $55.94 | $71.45 | $218.34 | |
United
| Professional | $55.94 | $70.81 | $105.91 |