| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.22 | $161.22 | $198.16 | |
Aetna
| Professional | $161.22 | $177.48 | $198.16 | |
Anthem BCBS
| Professional | $124.88 | $124.88 | $195.24 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
Medica
| Facility | $177.48 | $340.58 | $938.08 | |
Medica
| Professional | $131.12 | $172.80 | $332.47 | |
United
| Professional | $133.19 | $193.31 | $377.71 |