| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.55 | $172.33 | $658.32 | |
Aetna
| Professional | $95.57 | $106.33 | $208.38 | |
Anthem BCBS
| Facility | $122.22 | $128.33 | $564.16 | |
Anthem BCBS
| Professional | $60.36 | $118.21 | $309.58 | |
Cigna
| Facility | $115.68 | $256.35 | $681.38 | |
Cigna
| Professional | $55.62 | $106.32 | $212.38 | |
Medica
| Facility | $106.33 | $152.78 | $580.54 | |
Medica
| Professional | $51.33 | $100.04 | $611.10 | |
United
| Facility | $122.22 | $122.22 | $122.22 | |
United
| Professional | $51.33 | $90.53 | $166.74 |