| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.24 | $191.74 | $330.90 | |
Aetna
| Professional | $99.84 | $121.23 | $164.02 | |
Anthem BCBS
| Facility | $142.63 | $149.76 | $658.38 | |
Anthem BCBS
| Professional | $57.05 | $144.55 | $289.35 | |
Cigna
| Facility | $201.37 | $278.31 | $339.97 | |
Cigna
| Professional | $62.82 | $89.24 | $190.81 | |
Medica
| Facility | $121.24 | $171.16 | $677.49 | |
Medica
| Professional | $59.90 | $85.58 | $710.30 | |
United
| Professional | $59.90 | $85.58 | $171.16 |