| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.55 | $153.83 | $265.48 | |
Aetna
| Professional | $97.27 | $99.55 | $111.00 | |
Anthem BCBS
| Facility | $114.43 | $120.15 | $528.21 | |
Anthem BCBS
| Professional | $45.77 | $78.72 | $200.39 | |
Cigna
| Facility | $117.60 | $215.40 | $272.75 | |
Cigna
| Professional | $131.75 | $133.06 | $164.68 | |
Medica
| Facility | $89.26 | $168.21 | $543.54 | |
Medica
| Professional | $48.06 | $68.66 | $129.31 | |
United
| Professional | $48.06 | $68.66 | $137.32 |