| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.75 | $104.32 | $117.46 | |
Anthem BCBS
| Professional | $85.56 | $109.40 | $138.90 | |
Cigna
| Professional | $94.04 | $94.04 | $94.04 | |
Medica
| Facility | $74.44 | $103.94 | $538.49 | |
Medica
| Professional | $92.64 | $127.75 | $250.03 | |
United
| Professional | $88.24 | $128.60 | $223.19 |