| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.24 | $210.72 | $363.66 | |
Aetna
| Professional | $119.13 | $133.24 | $152.05 | |
Anthem BCBS
| Professional | $13.28 | $139.50 | $277.63 | |
Cigna
| Facility | $215.90 | $302.72 | $373.63 | |
Cigna
| Professional | $182.29 | $182.29 | $182.29 | |
Medica
| Facility | $133.24 | $188.10 | $744.56 | |
Medica
| Professional | $65.84 | $94.05 | $780.62 | |
United
| Facility | $156.75 | $156.75 | $188.10 | |
United
| Professional | $65.84 | $94.05 | $177.28 |