| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $428.40 | $677.54 | $1,169.28 | |
Aetna
| Professional | $428.40 | $438.48 | $488.88 | |
Anthem BCBS
| Facility | $504.00 | $529.20 | $2,326.46 | |
Anthem BCBS
| Professional | $201.60 | $379.93 | $928.72 | |
Cigna
| Facility | $516.99 | $948.73 | $1,228.50 | |
Cigna
| Professional | $237.74 | $511.44 | $723.78 | |
Medica
| Facility | $302.39 | $630.00 | $2,394.00 | |
Medica
| Professional | $211.68 | $302.39 | $1,247.80 | |
United
| Professional | $211.68 | $302.39 | $570.02 |