| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.58 | $55.58 | $109.40 | |
Aetna
| Professional | $30.29 | $84.42 | $109.40 | |
Anthem BCBS
| Professional | $105.31 | $146.90 | $229.36 | |
Cigna
| Facility | $733.82 | $752.75 | $883.09 | |
Cigna
| Professional | $68.93 | $72.34 | $86.68 | |
Medica
| Facility | $55.58 | $129.85 | $800.49 | |
Medica
| Professional | $40.29 | $186.82 | $505.34 | |
United
| Professional | $41.54 | $194.95 | $290.16 |