| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.80 | $177.54 | $274.68 | |
Aetna
| Professional | $81.43 | $101.79 | $300.00 | |
Anthem BCBS
| Facility | $95.80 | $100.59 | $442.21 | |
Anthem BCBS
| Professional | $42.02 | $83.04 | $236.95 | |
Cigna
| Facility | $112.28 | $200.95 | $474.19 | |
Cigna
| Professional | $45.77 | $60.31 | $147.97 | |
Medica
| Facility | $83.35 | $144.56 | $455.05 | |
Medica
| Professional | $40.24 | $71.84 | $479.00 | |
United
| Professional | $40.24 | $57.48 | $124.16 |