| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.59 | $67.59 | $83.32 | |
Aetna
| Professional | $60.76 | $74.18 | $87.73 | |
Anthem BCBS
| Professional | $69.55 | $71.66 | $103.46 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Medica
| Facility | $62.64 | $79.76 | $181.33 | |
Medica
| Professional | $66.81 | $95.56 | $472.57 | |
United
| Professional | $66.81 | $95.56 | $130.63 |