| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $239.88 | $275.42 | |
Aetna
| Professional | $93.33 | $120.23 | $151.36 | |
Anthem BCBS
| Facility | $141.25 | $141.25 | $501.19 | |
Anthem BCBS
| Professional | $19.95 | $22.91 | $234.42 | |
Cigna
| Facility | $194.98 | $302.00 | $338.84 | |
Cigna
| Professional | $165.96 | $165.96 | $165.96 | |
Medica
| Facility | $123.03 | $169.82 | $676.08 | |
Medica
| Professional | $60.26 | $85.11 | $707.95 | |
United
| Facility | $60.26 | $141.25 | $169.82 | |
United
| Professional | $60.26 | $85.11 | $162.18 |