| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.71 | $293.14 | $505.90 | |
Aetna
| Professional | $166.88 | $211.52 | $277.23 | |
Anthem BCBS
| Facility | $218.06 | $228.96 | $1,006.56 | |
Anthem BCBS
| Professional | $105.40 | $203.20 | $540.60 | |
Cigna
| Facility | $302.51 | $457.39 | $1,190.59 | |
Cigna
| Professional | $106.39 | $154.52 | $371.33 | |
Medica
| Facility | $189.71 | $342.35 | $1,035.79 | |
Medica
| Professional | $91.59 | $176.02 | $1,093.64 | |
United
| Facility | $263.49 | $293.37 | $327.08 | |
United
| Professional | $91.59 | $130.84 | $293.37 |