| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.88 | $331.94 | $572.85 | |
Aetna
| Professional | $209.88 | $214.82 | $239.51 | |
Anthem BCBS
| Facility | $246.92 | $259.27 | $1,139.78 | |
Anthem BCBS
| Professional | $31.92 | $150.62 | $438.23 | |
Cigna
| Facility | $348.61 | $517.92 | $592.25 | |
Cigna
| Professional | $283.73 | $286.57 | $354.66 | |
Medica
| Facility | $197.54 | $321.00 | $1,172.86 | |
Medica
| Professional | $103.71 | $148.15 | $279.02 | |
United
| Facility | $88.89 | $246.92 | $296.30 | |
United
| Professional | $103.71 | $148.15 | $296.30 |