| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.73 | $127.70 | $220.38 | |
Aetna
| Professional | $72.19 | $82.64 | $109.24 | |
Anthem BCBS
| Facility | $94.99 | $99.74 | $438.47 | |
Anthem BCBS
| Professional | $38.00 | $84.53 | $169.42 | |
Cigna
| Facility | $37.56 | $160.59 | $226.40 | |
Cigna
| Professional | $43.25 | $90.33 | $123.16 | |
Medica
| Facility | $82.64 | $118.74 | $451.20 | |
Medica
| Professional | $39.90 | $56.99 | $474.95 | |
United
| Professional | $39.90 | $56.99 | $107.43 |