| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.09 | $202.70 | $250.77 | |
Anthem BCBS
| Professional | $107.89 | $148.94 | $256.79 | |
Cigna
| Professional | $105.98 | $108.53 | $108.53 | |
Medica
| Facility | $197.44 | $263.25 | $510.00 | |
Medica
| Professional | $94.00 | $137.97 | $421.65 | |
United
| Professional | $88.32 | $127.58 | $197.44 |