| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.00 | $46.38 | $54.55 |
Aetna
| Professional | $58.24 | $66.12 | $78.95 | |
Aetna
| Professional | 26 | $40.31 | $44.89 | $55.45 |
Anthem BCBS
| Professional | $53.74 | $63.89 | $112.42 | |
Anthem BCBS
| Professional | 26 | $39.75 | $46.77 | $81.25 |
Cigna
| Professional | $62.58 | $88.66 | $137.94 | |
Cigna
| Professional | 26 | $43.86 | $63.05 | $97.88 |
Medica
| Facility | 26 | $104.07 | $201.33 | $201.33 |
Medica
| Professional | $58.46 | $86.65 | $404.18 | |
Medica
| Professional | 26 | $41.57 | $63.84 | $278.89 |
United
| Professional | $57.82 | $79.51 | $140.57 | |
United
| Professional | 26 | $41.40 | $57.00 | $98.20 |