| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.04 | $178.80 | $243.17 | |
Aetna
| Professional | $143.04 | $143.04 | $187.74 | |
Anthem BCBS
| Facility | $129.30 | $201.65 | $312.20 | |
Anthem BCBS
| Professional | $134.10 | $134.10 | $178.80 | |
Cigna
| Facility | $151.97 | $151.97 | $158.01 | |
Cigna
| Professional | $151.97 | $151.97 | $151.97 | |
Medica
| Facility | $143.04 | $178.80 | $670.50 | |
Medica
| Professional | $101.41 | $101.41 | $101.41 | |
United
| Professional | $101.41 | $101.41 | $101.41 |