| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.06 | $275.95 | $317.18 | |
Aetna
| Professional | $241.06 | $275.95 | $317.18 | |
Anthem BCBS
| Facility | $333.24 | $349.90 | $1,538.24 | |
Anthem BCBS
| Professional | $146.31 | $148.34 | $309.39 | |
Cigna
| Professional | $153.00 | $153.00 | $390.11 | |
Medica
| Facility | $169.73 | $676.48 | $1,559.56 | |
Medica
| Professional | $164.77 | $210.42 | $388.18 | |
United
| Professional | $126.87 | $200.35 | $508.03 |