| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.64 | $48.36 | $101.04 | |
Anthem BCBS
| Professional | $204.48 | $250.51 | $423.40 | |
Cigna
| Professional | $21.97 | $23.06 | $82.55 | |
Medica
| Facility | $30.64 | $61.28 | $101.73 | |
Medica
| Professional | $87.43 | $312.33 | $442.64 | |
United
| Professional | $77.15 | $250.51 | $512.04 |