| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.15 | $112.15 | $138.24 | |
Aetna
| Professional | $99.27 | $121.29 | $143.22 | |
Anthem BCBS
| Professional | $113.76 | $117.05 | $163.26 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Medica
| Facility | $103.62 | $132.34 | $300.88 | |
Medica
| Professional | $109.12 | $157.60 | $768.84 | |
United
| Professional | $109.12 | $155.16 | $219.14 |