| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.18 | $193.17 | $434.90 | |
Aetna
| Professional | $36.44 | $119.19 | $329.01 | |
Anthem BCBS
| Facility | $137.00 | $143.85 | $632.39 | |
Anthem BCBS
| Professional | $54.80 | $121.93 | $283.64 | |
Cigna
| Facility | $140.53 | $257.89 | $326.55 | |
Cigna
| Professional | $58.38 | $70.73 | $177.28 | |
Medica
| Facility | $116.45 | $164.40 | $650.75 | |
Medica
| Professional | $57.54 | $82.20 | $685.00 | |
United
| Professional | $57.54 | $82.20 | $154.94 |