| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.93 | $267.17 | $461.08 | |
Aetna
| Professional | $149.06 | $172.90 | $198.74 | |
Anthem BCBS
| Facility | $198.74 | $208.68 | $917.38 | |
Anthem BCBS
| Professional | $45.77 | $121.43 | $240.86 | |
Cigna
| Facility | $111.96 | $416.86 | $830.21 | |
Cigna
| Professional | $60.16 | $60.16 | $209.45 | |
Medica
| Facility | $144.74 | $244.06 | $944.02 | |
Medica
| Professional | $83.47 | $99.62 | $217.42 | |
United
| Professional | $83.47 | $109.31 | $238.49 |