| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.68 | $214.11 | $269.37 | |
Anthem BCBS
| Professional | $153.28 | $155.50 | $248.55 | |
Cigna
| Professional | $125.48 | $128.49 | $128.49 | |
Medica
| Facility | $191.09 | $264.86 | $509.95 | |
Medica
| Professional | $104.57 | $133.55 | $408.11 | |
United
| Professional | $104.57 | $133.55 | $201.17 |