| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.38 | $84.09 | $99.50 | |
Anthem BCBS
| Professional | $40.00 | $73.81 | $135.69 | |
Cigna
| Professional | $60.00 | $95.00 | $149.12 | |
Medica
| Facility | $72.20 | $90.64 | $169.88 | |
Medica
| Professional | $74.39 | $119.63 | $524.21 | |
United
| Professional | $74.15 | $105.16 | $177.15 |