| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.08 | $225.81 | $301.08 | |
Aetna
| Professional | $147.08 | $147.08 | $167.84 | |
Anthem BCBS
| Professional | $127.00 | $258.39 | $314.14 | |
Cigna
| Facility | $244.28 | $362.94 | $412.43 | |
Cigna
| Professional | $199.07 | $201.06 | $248.83 | |
Medica
| Facility | $89.98 | $224.94 | $821.89 | |
Medica
| Professional | $72.67 | $103.82 | $195.52 | |
United
| Professional | $72.67 | $103.82 | $207.64 |