| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.53 | $153.90 | $180.58 | |
Anthem BCBS
| Professional | $91.18 | $120.58 | $200.17 | |
Cigna
| Professional | $85.81 | $87.87 | $87.87 | |
Medica
| Facility | $153.90 | $205.20 | $410.70 | |
Medica
| Professional | $76.11 | $107.56 | $328.67 | |
United
| Professional | $71.51 | $99.45 | $153.90 |