| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.69 | $50.02 | $104.26 | |
Aetna
| Professional | $21.69 | $32.89 | $118.24 | |
Anthem BCBS
| Professional | $135.35 | $159.24 | $274.73 | |
Cigna
| Facility | $112.44 | $260.16 | $339.34 | |
Medica
| Facility | $32.89 | $59.21 | $296.60 | |
Medica
| Professional | $68.48 | $176.64 | $764.51 | |
United
| Professional | $47.62 | $165.61 | $269.66 |