| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.37 | $220.42 | $380.39 | |
Aetna
| Professional | $124.61 | $142.65 | $188.55 | |
Anthem BCBS
| Facility | $163.96 | $172.16 | $756.84 | |
Anthem BCBS
| Professional | $80.97 | $147.94 | $354.47 | |
Cigna
| Facility | $187.12 | $308.63 | $399.64 | |
Cigna
| Professional | $190.21 | $190.21 | $190.21 | |
Medica
| Facility | $142.65 | $204.95 | $778.81 | |
Medica
| Professional | $68.86 | $121.45 | $819.80 | |
United
| Professional | $68.86 | $109.31 | $228.73 |