| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.54 | $353.54 | $610.14 | |
Aetna
| Professional | $199.87 | $226.17 | $281.39 | |
Anthem BCBS
| Facility | $262.99 | $276.14 | $1,213.96 | |
Anthem BCBS
| Professional | $105.20 | $266.52 | $533.54 | |
Cigna
| Facility | $371.28 | $513.39 | $626.84 | |
Cigna
| Professional | $115.82 | $164.49 | $351.76 | |
Medica
| Facility | $223.54 | $315.58 | $1,249.20 | |
Medica
| Professional | $110.46 | $157.79 | $1,309.69 | |
United
| Professional | $110.46 | $157.79 | $297.44 |