| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.21 | $33.74 | $47.15 | |
Aetna
| Professional | $20.21 | $28.74 | $52.08 | |
Anthem BCBS
| Professional | $19.47 | $26.24 | $44.34 | |
Cigna
| Professional | $18.80 | $19.25 | $19.25 | |
Medica
| Facility | $26.16 | $49.51 | $134.16 | |
Medica
| Professional | $16.68 | $23.54 | $609.54 | |
United
| Professional | $15.69 | $23.54 | $34.89 |