| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $338.84 | $389.05 | |
Aetna
| Professional | $128.82 | $162.18 | $199.53 | |
Anthem BCBS
| Professional | $102.33 | $120.23 | $316.23 | |
Cigna
| Facility | $257.04 | $389.05 | $478.63 | |
Cigna
| Professional | $234.42 | $234.42 | $234.42 | |
Medica
| Facility | $173.78 | $239.88 | $954.99 | |
Medica
| Professional | $83.18 | $120.23 | $1,000.00 | |
United
| Facility | $83.18 | $199.53 | $239.88 | |
United
| Professional | $83.18 | $120.23 | $218.78 |