| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.23 | $110.08 | $189.96 | |
Aetna
| Professional | $69.59 | $71.23 | $87.61 | |
Anthem BCBS
| Facility | $81.88 | $85.97 | $377.96 | |
Anthem BCBS
| Professional | $34.18 | $57.08 | $196.96 | |
Cigna
| Facility | $98.26 | $171.74 | $386.65 | |
Cigna
| Professional | $40.19 | $83.25 | $117.71 | |
Medica
| Facility | $40.94 | $128.55 | $388.93 | |
Medica
| Professional | $34.39 | $51.26 | $92.61 | |
United
| Professional | $34.39 | $49.13 | $98.26 |