| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.26 | $255.00 | $560.45 | |
Aetna
| Professional | $125.06 | $148.68 | $503.98 | |
Anthem BCBS
| Professional | $135.81 | $169.18 | $256.66 | |
Cigna
| Facility | $211.81 | $397.97 | $912.30 | |
Cigna
| Professional | $99.04 | $170.58 | $306.27 | |
Medica
| Facility | $121.89 | $183.68 | $374.64 | |
Medica
| Professional | $110.05 | $187.74 | $1,029.11 | |
United
| Professional | $108.22 | $171.92 | $332.30 |