| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.66 | $391.68 | $675.96 | |
Aetna
| Professional | $221.43 | $253.48 | $335.06 | |
Anthem BCBS
| Facility | $291.36 | $305.93 | $1,344.92 | |
Anthem BCBS
| Professional | $40.47 | $222.91 | $457.52 | |
Cigna
| Facility | $202.44 | $611.13 | $1,193.51 | |
Cigna
| Professional | $125.65 | $227.87 | $376.95 | |
Medica
| Facility | $236.00 | $349.63 | $1,383.96 | |
Medica
| Professional | $122.37 | $175.08 | $1,456.80 | |
United
| Professional | $122.37 | $175.08 | $329.73 |