| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.89 | $164.30 | $283.55 | |
Aetna
| Professional | $92.89 | $106.33 | $140.55 | |
Anthem BCBS
| Facility | $122.22 | $128.33 | $564.16 | |
Anthem BCBS
| Professional | $60.36 | $108.78 | $264.23 | |
Cigna
| Facility | $139.41 | $230.06 | $297.89 | |
Cigna
| Professional | $59.61 | $76.52 | $191.37 | |
Medica
| Facility | $106.33 | $152.78 | $580.54 | |
Medica
| Professional | $51.33 | $90.53 | $611.10 | |
United
| Professional | $51.33 | $73.33 | $153.59 |