| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.44 | $77.26 | $95.42 | |
Aetna
| Professional | $56.01 | $65.67 | $80.09 | |
Anthem BCBS
| Facility | $73.40 | $109.67 | $263.64 | |
Anthem BCBS
| Professional | $77.26 | $77.26 | $77.26 | |
Cigna
| Facility | $72.25 | $72.25 | $72.25 | |
Cigna
| Professional | $72.25 | $72.25 | $72.25 | |
Medica
| Facility | $65.67 | $77.26 | $289.73 | |
Medica
| Professional | $73.40 | $78.39 | $88.77 | |
United
| Professional | $73.40 | $77.26 | $88.77 |