| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $295.12 | $338.84 | |
Aetna
| Professional | $114.82 | $147.91 | $186.21 | |
Anthem BCBS
| Facility | $173.78 | $173.78 | $616.60 | |
Anthem BCBS
| Professional | $104.71 | $181.97 | $281.84 | |
Cigna
| Facility | $229.09 | $338.84 | $416.87 | |
Cigna
| Professional | $204.17 | $204.17 | $204.17 | |
Medica
| Facility | $151.36 | $208.93 | $831.76 | |
Medica
| Professional | $74.13 | $104.71 | $870.96 | |
United
| Facility | $74.13 | $173.78 | $208.93 | |
United
| Professional | $74.13 | $104.71 | $190.55 |