| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.26 | $85.75 | $103.97 | |
Anthem BCBS
| Professional | $52.99 | $62.52 | $99.92 | |
Cigna
| Professional | $50.45 | $51.66 | $51.66 | |
Medica
| Facility | $76.81 | $104.27 | $204.18 | |
Medica
| Professional | $42.04 | $53.69 | $164.08 | |
United
| Professional | $42.04 | $53.21 | $76.81 |