| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.74 | $753.60 | $1,037.40 | |
Aetna
| Professional | $191.14 | $222.88 | $246.41 | |
Anthem BCBS
| Facility | $250.00 | $250.00 | $250.00 | |
Anthem BCBS
| Professional | $163.33 | $285.10 | $389.84 | |
Cigna
| Facility | $267.13 | $825.89 | $1,013.52 | |
Cigna
| Professional | $197.09 | $306.47 | $483.55 | |
Medica
| Facility | $191.14 | $354.25 | $1,695.79 | |
Medica
| Professional | $162.68 | $305.93 | $1,543.86 | |
United
| Professional | $183.95 | $295.72 | $520.28 |