| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.45 | $1,170.58 | $1,560.78 | |
Aetna
| Professional | $762.45 | $780.39 | $870.09 | |
Anthem BCBS
| Professional | $10.28 | $618.92 | $1,652.86 | |
Cigna
| Facility | $1,266.38 | $1,881.50 | $2,138.04 | |
Cigna
| Professional | $1,030.84 | $1,041.16 | $1,288.56 | |
Medica
| Facility | $538.20 | $1,560.78 | $4,260.75 | |
Medica
| Professional | $376.74 | $538.20 | $1,013.61 | |
United
| Professional | $376.74 | $538.20 | $1,076.40 |