| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.26 | $259.79 | $448.34 | |
Aetna
| Professional | $146.87 | $168.13 | $222.24 | |
Anthem BCBS
| Facility | $193.25 | $202.91 | $892.04 | |
Anthem BCBS
| Professional | $77.30 | $195.85 | $392.06 | |
Cigna
| Facility | $272.82 | $376.94 | $460.61 | |
Cigna
| Professional | $85.10 | $120.83 | $258.45 | |
Medica
| Facility | $164.26 | $231.90 | $917.94 | |
Medica
| Professional | $81.17 | $115.95 | $962.39 | |
United
| Professional | $81.17 | $115.95 | $218.57 |