| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.97 | $118.56 | $204.62 | |
Aetna
| Professional | $67.03 | $76.73 | $101.43 | |
Anthem BCBS
| Facility | $88.20 | $92.61 | $407.13 | |
Anthem BCBS
| Professional | $19.00 | $72.27 | $176.61 | |
Cigna
| Facility | $46.02 | $182.53 | $210.23 | |
Cigna
| Professional | $40.11 | $83.88 | $114.30 | |
Medica
| Facility | $74.97 | $105.84 | $418.95 | |
Medica
| Professional | $37.04 | $52.92 | $441.00 | |
United
| Professional | $37.04 | $52.92 | $99.75 |