| 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 | $69.92 | $143.22 | $311.77 | |
Cigna
| Facility | $179.36 | $329.07 | $419.29 | |
Cigna
| Professional | $74.65 | $90.46 | $226.27 | |
Medica
| Facility | $148.59 | $218.51 | $830.35 | |
Medica
| Professional | $73.42 | $104.89 | $874.05 | |
United
| Professional | $73.42 | $104.89 | $197.71 |