| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $508.22 | $803.78 | $1,387.15 | |
Aetna
| Professional | $358.74 | $514.20 | $579.97 | |
Anthem BCBS
| Facility | $597.91 | $627.80 | $2,759.95 | |
Anthem BCBS
| Professional | $239.16 | $744.20 | $1,246.54 | |
Cigna
| Facility | $418.77 | $1,254.14 | $2,448.30 | |
Cigna
| Professional | $272.31 | $606.99 | $858.52 | |
Medica
| Facility | $358.74 | $717.49 | $2,840.07 | |
Medica
| Professional | $251.12 | $361.26 | $1,480.31 | |
United
| Professional | $251.12 | $358.75 | $680.37 |