| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $660.69 | $831.76 | |
Aetna
| Professional | $416.87 | $416.87 | $501.19 | |
Anthem BCBS
| Professional | $165.96 | $288.40 | $660.69 | |
Cigna
| Facility | $537.03 | $812.83 | $1,000.00 | |
Cigna
| Professional | $478.63 | $478.63 | $478.63 | |
Medica
| Facility | $416.87 | $501.19 | $1,995.26 | |
Medica
| Professional | $173.78 | $251.19 | $2,089.30 | |
United
| Facility | $173.78 | $416.87 | $501.19 | |
United
| Professional | $173.78 | $239.88 | $446.68 |