| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.54 | $114.52 | $144.55 | |
Aetna
| Professional | $93.86 | $106.33 | $135.65 | |
Anthem BCBS
| Facility | $1,306.00 | $1,466.00 | $1,641.00 | |
Anthem BCBS
| Professional | $72.50 | $102.70 | $155.75 | |
Cigna
| Facility | $50.00 | $65.00 | $85.00 | |
Cigna
| Professional | $90.83 | $122.51 | $197.30 | |
Medica
| Facility | $81.91 | $114.44 | $239.53 | |
Medica
| Professional | $79.31 | $131.75 | $616.10 | |
United
| Facility | $84.00 | $105.14 | $135.81 | |
United
| Professional | $81.92 | $127.31 | $239.17 |