| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.46 | $246.52 | $347.15 | |
Aetna
| Professional | $142.62 | $142.63 | $195.87 | |
Anthem BCBS
| Professional | $57.05 | $142.63 | $280.92 | |
Cigna
| Facility | $196.45 | $275.44 | $339.97 | |
Cigna
| Professional | $65.02 | $92.42 | $203.41 | |
Medica
| Facility | $142.63 | $185.42 | $677.49 | |
Medica
| Professional | $94.75 | $143.47 | $710.30 | |
United
| Professional | $92.23 | $136.85 | $212.95 |