| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $516.94 | $793.67 | $1,058.22 | |
Aetna
| Professional | $462.21 | $523.03 | $589.91 | |
Anthem BCBS
| Professional | $25.58 | $439.37 | $1,120.64 | |
Cigna
| Facility | $837.66 | $1,174.47 | $1,449.60 | |
Cigna
| Professional | $705.78 | $705.78 | $705.78 | |
Medica
| Facility | $516.94 | $729.80 | $2,888.81 | |
Medica
| Professional | $255.43 | $364.90 | $3,028.69 | |
United
| Professional | $255.43 | $364.90 | $687.84 |