| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.97 | $112.71 | $132.65 | |
Aetna
| Professional | $99.87 | $112.71 | $132.65 | |
Anthem BCBS
| Facility | $1,423.00 | $1,466.00 | $1,641.00 | |
Anthem BCBS
| Professional | $97.00 | $129.11 | $194.38 | |
Cigna
| Professional | $106.81 | $154.77 | $246.59 | |
Medica
| Facility | $101.73 | $136.81 | $259.94 | |
Medica
| Professional | $105.97 | $166.36 | $686.29 | |
United
| Professional | $102.54 | $144.31 | $250.99 |