| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.40 | $240.48 | $345.59 | |
Aetna
| Professional | $151.04 | $151.04 | $151.04 | |
Anthem BCBS
| Facility | $198.74 | $208.68 | $917.38 | |
Anthem BCBS
| Professional | $45.77 | $124.77 | $305.01 | |
Cigna
| Facility | $169.74 | $373.33 | $473.70 | |
Cigna
| Professional | $230.67 | $230.67 | $230.67 | |
Medica
| Facility | $129.60 | $238.49 | $944.02 | |
Medica
| Professional | $62.56 | $99.31 | $989.73 | |
United
| Professional | $62.56 | $99.31 | $187.20 |