| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $776.90 | $1,228.71 | $2,120.48 | |
Aetna
| Professional | $776.90 | $795.18 | $886.58 | |
Anthem BCBS
| Professional | $670.87 | $846.27 | $1,604.53 | |
Cigna
| Facility | $937.83 | $1,720.51 | $2,178.56 | |
Cigna
| Professional | $416.22 | $927.70 | $1,312.82 | |
Medica
| Facility | $457.00 | $1,144.26 | $4,341.50 | |
Medica
| Professional | $383.88 | $548.40 | $2,262.88 | |
United
| Facility | $329.04 | $914.00 | $1,096.80 | |
United
| Professional | $383.88 | $548.40 | $1,096.80 |