| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.02 | $1,110.00 | $5,691.00 | |
Aetna
| Professional | $14.44 | $30.18 | $121.40 | |
Anthem BCBS
| Facility | $331.00 | $459.00 | $513.00 | |
Anthem BCBS
| Professional | $11.92 | $33.72 | $84.69 | |
Cigna
| Facility | $157.83 | $157.83 | $157.83 | |
Cigna
| Professional | $10.53 | $29.40 | $81.52 | |
Medica
| Facility | $24.45 | $60.04 | $875.00 | |
Medica
| Professional | $22.15 | $43.34 | $376.33 | |
United
| Facility | $245.00 | $875.00 | $1,351.00 | |
United
| Professional | $22.15 | $40.19 | $51.39 |