| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.95 | $143.84 | $248.24 | |
Aetna
| Professional | $90.95 | $90.95 | $103.79 | |
Anthem BCBS
| Professional | $64.20 | $128.50 | $197.17 | |
Cigna
| Facility | $147.38 | $206.63 | $255.04 | |
Cigna
| Professional | $124.30 | $124.30 | $124.30 | |
Medica
| Facility | $93.09 | $128.40 | $508.25 | |
Medica
| Professional | $44.94 | $64.20 | $535.00 | |
United
| Professional | $44.94 | $64.20 | $121.02 |