| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.29 | $124.40 | $124.40 | |
Aetna
| Professional | $51.90 | $62.40 | $90.24 | |
Anthem BCBS
| Professional | $62.11 | $74.20 | $129.28 | |
Cigna
| Professional | $71.29 | $99.37 | $168.38 | |
Medica
| Facility | $54.40 | $89.31 | $141.44 | |
Medica
| Professional | $67.18 | $93.17 | $464.35 | |
United
| Professional | $64.81 | $83.42 | $123.92 |