| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $416.87 | $478.63 | |
Aetna
| Professional | $165.96 | $208.93 | $309.03 | |
Anthem BCBS
| Facility | $245.47 | $245.47 | $870.96 | |
Anthem BCBS
| Professional | $31.62 | $169.82 | $389.05 | |
Cigna
| Facility | $338.84 | $512.86 | $588.84 | |
Cigna
| Professional | $281.84 | $288.40 | $354.81 | |
Medica
| Facility | $213.80 | $426.58 | $1,174.90 | |
Medica
| Professional | $104.71 | $147.91 | $269.15 | |
United
| Facility | $104.71 | $245.47 | $295.12 | |
United
| Professional | $104.71 | $147.91 | $288.40 |