| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.86 | $175.85 | $400.39 | |
Aetna
| Professional | $96.85 | $110.86 | $146.54 | |
Anthem BCBS
| Facility | $127.43 | $133.80 | $588.22 | |
Anthem BCBS
| Professional | $54.99 | $129.13 | $315.19 | |
Cigna
| Facility | $105.41 | $267.29 | $621.55 | |
Cigna
| Professional | $58.01 | $99.84 | $193.66 | |
Medica
| Facility | $110.86 | $159.29 | $605.29 | |
Medica
| Professional | $53.52 | $91.16 | $637.15 | |
United
| Professional | $53.52 | $82.49 | $165.15 |