| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.81 | $81.59 | $95.97 | |
Aetna
| Professional | $73.81 | $73.81 | $95.97 | |
Anthem BCBS
| Facility | $73.81 | $125.49 | $265.16 | |
Anthem BCBS
| Professional | $74.56 | $77.70 | $77.70 | |
Cigna
| Facility | $72.52 | $72.52 | $72.52 | |
Cigna
| Professional | $72.52 | $72.52 | $72.52 | |
Medica
| Facility | $73.81 | $80.09 | $291.38 | |
Medica
| Professional | $73.81 | $78.84 | $89.28 | |
United
| Professional | $73.81 | $77.70 | $88.58 |