| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.99 | $22.99 | $31.11 | |
Anthem BCBS
| Professional | $10.82 | $22.91 | $42.17 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Medica
| Facility | $22.99 | $29.89 | $69.23 | |
Medica
| Professional | $11.36 | $16.23 | $142.29 | |
United
| Professional | $11.36 | $16.23 | $30.59 |