| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.43 | $338.65 | $453.28 | |
Aetna
| Professional | $197.98 | $226.64 | $299.58 | |
Anthem BCBS
| Professional | $57.05 | $198.68 | $480.01 | |
Cigna
| Facility | $358.81 | $503.08 | $620.92 | |
Cigna
| Professional | $302.42 | $302.42 | $302.42 | |
Medica
| Facility | $221.43 | $312.60 | $1,237.38 | |
Medica
| Professional | $109.41 | $156.30 | $1,297.29 | |
United
| Professional | $109.41 | $156.30 | $294.63 |