| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.91 | $123.21 | $212.65 | |
Aetna
| Professional | $69.66 | $79.73 | $105.41 | |
Anthem BCBS
| Facility | $91.66 | $96.24 | $423.10 | |
Anthem BCBS
| Professional | $45.27 | $82.71 | $198.19 | |
Cigna
| Facility | $104.66 | $172.54 | $223.43 | |
Cigna
| Professional | $106.37 | $106.37 | $106.37 | |
Medica
| Facility | $79.73 | $114.58 | $435.39 | |
Medica
| Professional | $38.50 | $67.90 | $458.30 | |
United
| Professional | $38.50 | $60.22 | $118.79 |