| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.12 | $248.96 | $706.34 | |
Aetna
| Professional | $125.00 | $179.64 | $312.45 | |
Anthem BCBS
| Facility | $185.20 | $194.46 | $854.88 | |
Anthem BCBS
| Professional | $74.08 | $164.83 | $330.31 | |
Cigna
| Facility | $127.15 | $388.47 | $504.26 | |
Cigna
| Professional | $84.41 | $176.47 | $239.79 | |
Medica
| Facility | $161.12 | $222.24 | $879.70 | |
Medica
| Professional | $77.78 | $111.12 | $926.00 | |
United
| Professional | $77.78 | $111.12 | $240.02 |