| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.60 | $347.80 | $347.80 | |
Aetna
| Professional | $167.31 | $278.39 | $347.80 | |
Anthem BCBS
| Professional | $45.82 | $280.10 | $280.10 | |
Cigna
| Facility | $38.00 | $38.00 | $38.00 | |
Cigna
| Professional | $66.81 | $66.81 | $66.81 | |
Medica
| Facility | $28.77 | $202.10 | $486.45 | |
Medica
| Professional | $17.26 | $24.24 | $69.45 | |
United
| Professional | $17.50 | $24.24 | $81.99 |