| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $70.79 | |
Aetna
| Professional | $34.67 | $53.70 | $64.57 | |
Anthem BCBS
| Professional | $17.78 | $20.42 | $50.12 | |
BCBS
| Professional | $54.95 | $54.95 | $54.95 | |
Cigna
| Facility | $223.87 | $251.19 | $407.38 | |
Medica
| Facility | $35.48 | $56.23 | $117.49 | |
Medica
| Professional | $52.48 | $72.44 | $338.84 | |
United
| Facility | $67.61 | $69.18 | $251.19 | |
United
| Professional | $50.12 | $64.57 | $102.33 |