| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.28 | $59.61 | $98.09 | |
Aetna
| Professional | $42.28 | $42.28 | $42.28 | |
Anthem BCBS
| Professional | $16.91 | $29.08 | $75.04 | |
Cigna
| Facility | $59.69 | $88.68 | $100.77 | |
Cigna
| Professional | $48.57 | $49.05 | $60.71 | |
Medica
| Facility | $42.28 | $64.69 | $200.83 | |
Medica
| Professional | $17.73 | $24.23 | $45.74 | |
United
| Professional | $17.73 | $24.23 | $50.74 |