| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $416.87 | $478.63 | |
Aetna
| Professional | $162.18 | $208.93 | $281.84 | |
Anthem BCBS
| Professional | $30.90 | $66.07 | $389.05 | |
Cigna
| Facility | $338.84 | $524.81 | $602.56 | |
Cigna
| Professional | $288.40 | $288.40 | $288.40 | |
Medica
| Facility | $213.80 | $295.12 | $1,174.90 | |
Medica
| Professional | $104.71 | $147.91 | $1,230.27 | |
United
| Facility | $104.71 | $251.19 | $295.12 | |
United
| Professional | $104.71 | $147.91 | $275.42 |