| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.60 | $51.60 | $63.75 | |
Aetna
| Professional | $51.60 | $62.16 | $84.05 | |
Anthem BCBS
| Professional | $69.89 | $72.33 | $108.12 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Medica
| Facility | $54.18 | $70.42 | $140.29 | |
Medica
| Professional | $67.44 | $95.74 | $472.57 | |
United
| Professional | $67.44 | $93.03 | $130.63 |