| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.29 | $120.82 | $151.55 | |
Anthem BCBS
| Professional | $110.00 | $136.59 | $161.09 | |
Cigna
| Facility | $64.17 | $64.17 | $64.17 | |
Cigna
| Professional | $14.75 | $64.17 | $66.09 | |
Medica
| Facility | $21.88 | $133.46 | $821.30 | |
Medica
| Professional | $61.98 | $87.62 | $168.43 | |
United
| Professional | $60.27 | $82.95 | $158.26 |