| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.00 | $1,021.69 | $1,763.20 | |
Aetna
| Professional | $646.00 | $661.20 | $737.20 | |
Anthem BCBS
| Professional | $240.84 | $304.00 | $993.83 | |
Cigna
| Facility | $1,072.97 | $1,594.14 | $1,822.86 | |
Cigna
| Professional | $873.50 | $882.23 | $1,091.86 | |
Medica
| Facility | $608.00 | $988.00 | $3,610.00 | |
Medica
| Professional | $319.20 | $456.00 | $831.44 | |
United
| Facility | $684.00 | $684.00 | $912.00 | |
United
| Professional | $319.20 | $456.00 | $912.00 |