| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.96 | $2,511.89 | $7,413.10 | |
Aetna
| Professional | $91.20 | $154.88 | $478.63 | |
Anthem BCBS
| Facility | $676.08 | $1,819.70 | $4,168.69 | |
Anthem BCBS
| Professional | $93.33 | $112.20 | $190.55 | |
BCBS
| Professional | $91.20 | $162.18 | $213.80 | |
Cigna
| Professional | $109.65 | $173.78 | $316.23 | |
Medica
| Facility | $87.10 | $177.83 | $1,380.38 | |
Medica
| Professional | $154.88 | $263.03 | $1,230.27 | |
United
| Facility | $524.81 | $1,047.13 | $2,238.72 | |
United
| Professional | $102.33 | $169.82 | $288.40 |