| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.55 | $143.32 | $157.65 | |
Aetna
| Professional | $90.00 | $127.54 | $140.30 | |
Anthem BCBS
| Facility | $130.87 | $204.10 | $316.00 | |
Anthem BCBS
| Professional | $136.68 | $136.68 | $136.68 | |
Cigna
| Facility | $134.47 | $134.47 | $134.47 | |
Cigna
| Professional | $134.47 | $134.47 | $134.47 | |
Medica
| Facility | $127.55 | $139.44 | $512.54 | |
Medica
| Professional | $120.06 | $134.99 | $145.19 | |
United
| Professional | $120.06 | $134.99 | $145.27 |