| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.80 | $366.10 | $436.19 | |
Aetna
| Professional | $213.00 | $313.63 | $369.10 | |
Anthem BCBS
| Facility | $358.71 | $559.45 | $866.16 | |
Anthem BCBS
| Professional | $368.98 | $368.98 | $368.98 | |
Cigna
| Facility | $368.58 | $368.58 | $368.58 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
Medica
| Facility | $313.63 | $368.98 | $1,293.33 | |
Medica
| Professional | $307.61 | $362.98 | $372.02 | |
United
| Professional | $329.09 | $388.33 | $398.00 |