| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.44 | $86.81 | $267.00 | |
Aetna
| Professional | $65.43 | $78.45 | $436.00 | |
Anthem BCBS
| Facility | $363.00 | $363.00 | $413.00 | |
Anthem BCBS
| Professional | $75.95 | $93.07 | $149.91 | |
Cigna
| Facility | $41.67 | $83.14 | $110.75 | |
Cigna
| Professional | $63.10 | $97.37 | $165.56 | |
Medica
| Facility | $66.91 | $106.89 | $186.08 | |
Medica
| Professional | $75.09 | $93.61 | $484.57 | |
United
| Professional | $72.37 | $88.13 | $146.32 |