| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $587.66 | $966.93 | |
Aetna
| Professional | $416.78 | $416.78 | $539.22 | |
Anthem BCBS
| Professional | $166.71 | $376.12 | $738.18 | |
Cigna
| Facility | $574.05 | $804.87 | $993.43 | |
Cigna
| Professional | $483.75 | $483.75 | $483.75 | |
Medica
| Facility | $416.78 | $500.14 | $1,979.71 | |
Medica
| Professional | $175.07 | $242.10 | $2,075.56 | |
United
| Professional | $175.05 | $242.10 | $451.48 |