| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.73 | $199.95 | $325.43 | |
Aetna
| Professional | $110.00 | $169.96 | $203.95 | |
Anthem BCBS
| Facility | $181.76 | $283.48 | $438.89 | |
Anthem BCBS
| Professional | $188.67 | $188.67 | $188.67 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
Medica
| Facility | $169.96 | $310.69 | $707.51 | |
Medica
| Professional | $166.75 | $196.77 | $201.67 | |
United
| Professional | $166.75 | $196.77 | $208.44 |