| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.72 | $636.98 | $934.63 | |
Aetna
| Professional | $316.75 | $445.95 | $623.32 | |
Anthem BCBS
| Facility | $416.78 | $437.62 | $1,923.86 | |
Anthem BCBS
| Professional | $205.82 | $388.38 | $1,055.71 | |
Cigna
| Facility | $590.98 | $874.23 | $2,324.29 | |
Cigna
| Professional | $203.33 | $311.12 | $724.85 | |
Medica
| Facility | $362.60 | $654.34 | $1,979.71 | |
Medica
| Professional | $175.05 | $343.75 | $2,135.73 | |
United
| Professional | $175.05 | $250.07 | $540.15 |