| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.50 | $201.65 | $348.00 | |
Aetna
| Professional | $114.00 | $130.50 | $172.50 | |
Anthem BCBS
| Professional | $51.00 | $71.72 | $233.80 | |
Cigna
| Facility | $153.84 | $282.36 | $359.78 | |
Cigna
| Professional | $158.32 | $158.32 | $158.32 | |
Medica
| Facility | $130.50 | $195.75 | $712.50 | |
Medica
| Professional | $63.00 | $90.00 | $750.00 | |
United
| Professional | $63.00 | $90.00 | $169.65 |