| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.59 | $234.99 | $405.56 | |
Aetna
| Professional | $132.86 | $152.08 | $201.03 | |
Anthem BCBS
| Facility | $174.81 | $183.55 | $806.92 | |
Anthem BCBS
| Professional | $19.00 | $137.41 | $274.50 | |
Cigna
| Facility | $121.47 | $366.68 | $714.93 | |
Cigna
| Professional | $75.27 | $136.78 | $226.27 | |
Medica
| Facility | $148.59 | $209.77 | $830.35 | |
Medica
| Professional | $73.42 | $105.05 | $874.05 | |
United
| Professional | $73.42 | $104.89 | $197.71 |