| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $243.29 | $777.30 | |
Aetna
| Professional | $151.16 | $173.87 | $514.77 | |
Anthem BCBS
| Professional | $152.10 | $190.22 | $364.17 | |
Cigna
| Facility | $50.00 | $65.00 | $85.00 | |
Cigna
| Professional | $189.58 | $272.07 | $484.21 | |
Medica
| Facility | $122.19 | $218.88 | $522.82 | |
Medica
| Professional | $173.22 | $257.24 | $657.07 | |
United
| Professional | $161.43 | $245.68 | $470.47 |