| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $257.04 | $389.05 | |
Aetna
| Professional | $104.71 | $125.89 | $169.82 | |
Anthem BCBS
| Facility | $199.53 | $199.53 | $691.83 | |
Anthem BCBS
| Professional | $45.71 | $100.00 | $245.47 | |
Cigna
| Facility | $169.82 | $346.74 | $426.58 | |
Cigna
| Professional | $229.09 | $229.09 | $229.09 | |
Medica
| Facility | $128.82 | $234.42 | $933.25 | |
Medica
| Professional | $63.10 | $100.00 | $1,000.00 | |
United
| Facility | $69.18 | $177.83 | $199.53 | |
United
| Professional | $63.10 | $89.13 | $177.83 |