| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.21 | $74.66 | $128.85 | |
Aetna
| Professional | $47.21 | $48.32 | $59.43 | |
Anthem BCBS
| Facility | $55.54 | $58.32 | $256.37 | |
Anthem BCBS
| Professional | $22.22 | $35.89 | $102.35 | |
Cigna
| Facility | $69.58 | $116.49 | $275.95 | |
Cigna
| Professional | $52.91 | $64.02 | $80.02 | |
Medica
| Facility | $49.99 | $94.50 | $263.82 | |
Medica
| Professional | $23.33 | $33.32 | $62.76 | |
United
| Professional | $23.33 | $33.32 | $66.65 |