| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.09 | $93.45 | $161.29 | |
Aetna
| Professional | $59.09 | $67.43 | $71.79 | |
Anthem BCBS
| Facility | $69.52 | $73.00 | $320.89 | |
Anthem BCBS
| Professional | $27.81 | $47.82 | $126.23 | |
Cigna
| Facility | $76.52 | $145.83 | $303.45 | |
Cigna
| Professional | $66.13 | $80.12 | $100.15 | |
Medica
| Facility | $62.57 | $120.96 | $330.22 | |
Medica
| Professional | $29.20 | $41.71 | $78.56 | |
United
| Professional | $29.20 | $41.71 | $83.42 |