| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.39 | $324.00 | $340.20 | |
Aetna
| Professional | $275.39 | $275.39 | $324.00 | |
Anthem BCBS
| Facility | $0.03 | $294.30 | $710.64 | |
Anthem BCBS
| Professional | $324.00 | $324.00 | $324.00 | |
Cigna
| Facility | $302.39 | $302.39 | $302.39 | |
Cigna
| Professional | $302.39 | $302.39 | $302.39 | |
Medica
| Facility | $275.39 | $324.00 | $1,215.00 | |
Medica
| Professional | $229.50 | $296.81 | $324.00 | |
United
| Facility | $0.02 | $0.02 | $0.02 | |
United
| Professional | $247.34 | $296.81 | $324.00 |