| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.60 | $177.04 | $324.87 | |
Aetna
| Professional | $97.50 | $111.61 | $163.22 | |
Anthem BCBS
| Facility | $128.29 | $134.69 | $592.19 | |
Anthem BCBS
| Professional | $63.35 | $130.01 | $321.69 | |
Cigna
| Facility | $121.42 | $269.10 | $714.93 | |
Cigna
| Professional | $62.65 | $87.48 | $222.89 | |
Medica
| Facility | $111.61 | $175.75 | $609.38 | |
Medica
| Professional | $53.88 | $104.75 | $641.45 | |
United
| Professional | $53.88 | $84.29 | $174.58 |