| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.88 | $331.94 | $572.85 | |
Aetna
| Professional | $179.83 | $214.82 | $246.92 | |
Anthem BCBS
| Facility | $246.92 | $259.27 | $1,139.78 | |
Anthem BCBS
| Professional | $45.77 | $162.25 | $312.24 | |
Cigna
| Facility | $111.96 | $476.85 | $1,031.57 | |
Cigna
| Professional | $60.16 | $60.16 | $260.20 | |
Medica
| Facility | $179.83 | $316.39 | $1,172.86 | |
Medica
| Professional | $103.71 | $129.13 | $270.13 | |
United
| Professional | $103.71 | $129.13 | $279.27 |