| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.34 | $108.80 | $126.06 | |
Anthem BCBS
| Professional | $63.02 | $82.45 | $136.52 | |
Cigna
| Professional | $58.67 | $60.08 | $60.08 | |
Medica
| Facility | $104.96 | $139.94 | $280.08 | |
Medica
| Professional | $52.04 | $73.34 | $224.15 | |
United
| Professional | $48.89 | $67.81 | $104.80 |