| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.44 | $151.82 | $199.80 | |
Anthem BCBS
| Professional | $108.69 | $110.27 | $176.24 | |
Cigna
| Professional | $88.98 | $91.11 | $91.11 | |
Medica
| Facility | $135.51 | $187.81 | $361.61 | |
Medica
| Professional | $74.15 | $94.70 | $289.38 | |
United
| Professional | $74.15 | $94.70 | $194.90 |