| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $475.23 | $475.23 | $475.23 | |
Aetna
| Professional | $667.78 | $810.73 | $1,985.43 | |
Anthem BCBS
| Facility | $2,088.00 | $4,247.00 | $9,663.00 | |
Anthem BCBS
| Professional | $401.05 | $522.00 | $809.93 | |
Cigna
| Professional | $650.38 | $650.38 | $650.38 | |
Medica
| Facility | $55.00 | $735.26 | $6,335.00 | |
Medica
| Professional | $415.03 | $734.03 | $4,568.99 | |
United
| Professional | $415.03 | $635.79 | $1,445.81 |