| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $119.18 | $193.17 | $692.04 | |
Aetna
| Professional | $82.20 | $119.19 | $333.94 | |
Anthem BCBS
| Facility | $137.00 | $143.85 | $632.39 | |
Anthem BCBS
| Professional | $50.00 | $97.27 | $244.34 | |
Cigna
| Facility | $97.59 | $287.36 | $387.05 | |
Cigna
| Professional | $62.34 | $130.33 | $177.28 | |
Medica
| Facility | $119.19 | $164.40 | $650.75 | |
Medica
| Professional | $57.54 | $82.20 | $685.00 | |
United
| Professional | $57.54 | $82.20 | $154.94 |