| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.00 | $2,297.64 | $6,284.00 | |
Aetna
| Professional | $222.67 | $337.46 | $1,132.33 | |
Anthem BCBS
| Facility | $821.00 | $1,963.00 | $4,958.00 | |
Anthem BCBS
| Professional | $256.95 | $358.88 | $597.97 | |
Cigna
| Professional | $258.82 | $405.39 | $642.04 | |
Medica
| Facility | $235.35 | $473.56 | $3,064.00 | |
Medica
| Facility | AS | $118.23 | $118.23 | $118.23 |
Medica
| Professional | $345.50 | $509.91 | $2,910.40 | |
United
| Facility | $235.76 | $747.00 | $1,300.00 | |
United
| Professional | $337.77 | $468.67 | $746.51 |