| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.60 | $347.80 | $347.80 | |
Aetna
| Professional | $225.60 | $296.10 | $347.80 | |
Anthem BCBS
| Professional | $33.56 | $304.00 | $373.97 | |
Cigna
| Facility | $43.07 | $43.07 | $43.07 | |
Cigna
| Professional | $34.33 | $39.33 | $592.28 | |
Medica
| Facility | $51.63 | $243.36 | $486.45 | |
Medica
| Professional | $19.30 | $30.90 | $67.12 | |
United
| Professional | $18.80 | $25.82 | $63.11 |