| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.78 | $231.00 | $564.79 | |
Aetna
| Professional | $114.25 | $130.79 | $172.88 | |
Anthem BCBS
| Facility | $150.33 | $157.85 | $693.92 | |
Anthem BCBS
| Professional | $60.13 | $152.35 | $304.97 | |
Cigna
| Facility | $212.23 | $293.17 | $358.30 | |
Cigna
| Professional | $66.20 | $94.12 | $201.07 | |
Medica
| Facility | $127.78 | $180.40 | $883.04 | |
Medica
| Professional | $63.14 | $90.20 | $748.64 | |
United
| Professional | $63.14 | $90.20 | $180.40 |