| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.14 | $212.68 | $389.89 | |
Aetna
| Professional | $24.44 | $38.38 | $115.42 | |
Anthem BCBS
| Facility | $331.00 | $459.00 | $513.00 | |
Anthem BCBS
| Professional | $26.47 | $38.42 | $63.84 | |
Cigna
| Facility | $86.15 | $86.15 | $86.15 | |
Cigna
| Professional | $15.41 | $29.95 | $70.26 | |
Medica
| Facility | $24.64 | $45.88 | $110.49 | |
Medica
| Facility | AS | $11.05 | $11.05 | $11.05 |
Medica
| Professional | $30.59 | $39.57 | $268.44 | |
United
| Professional | $29.09 | $38.04 | $71.75 |