| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.01 | $175.04 | $233.38 | |
Aetna
| Professional | $101.94 | $114.01 | $130.11 | |
Anthem BCBS
| Professional | $124.90 | $237.72 | $279.68 | |
Cigna
| Facility | $184.73 | $259.01 | $319.69 | |
Cigna
| Professional | $156.01 | $156.01 | $156.01 | |
Medica
| Facility | $114.01 | $160.96 | $637.12 | |
Medica
| Professional | $56.33 | $80.48 | $667.97 | |
United
| Professional | $56.33 | $80.48 | $160.96 |