| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.24 | $191.74 | $330.90 | |
Aetna
| Professional | $108.40 | $124.09 | $164.02 | |
Anthem BCBS
| Facility | $142.63 | $149.76 | $658.38 | |
Anthem BCBS
| Professional | $19.88 | $116.86 | $257.67 | |
Cigna
| Facility | $201.37 | $299.18 | $342.10 | |
Cigna
| Professional | $165.60 | $165.60 | $165.60 | |
Medica
| Facility | $121.24 | $171.16 | $677.49 | |
Medica
| Professional | $59.90 | $85.58 | $713.15 | |
United
| Professional | $59.90 | $85.58 | $161.31 |