| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.27 | $149.33 | $199.10 | |
Aetna
| Professional | $97.27 | $99.55 | $111.00 | |
Anthem BCBS
| Professional | $31.92 | $78.72 | $207.76 | |
Cigna
| Facility | $161.55 | $240.02 | $272.75 | |
Cigna
| Professional | $131.75 | $133.06 | $164.68 | |
Medica
| Facility | $59.50 | $199.11 | $543.54 | |
Medica
| Professional | $48.06 | $68.66 | $129.31 | |
United
| Professional | $48.06 | $68.66 | $137.32 |