| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.81 | $112.50 | $585.98 | |
Aetna
| Professional | $69.73 | $71.81 | $112.50 | |
Anthem BCBS
| Facility | $76.01 | $118.54 | $183.53 | |
Anthem BCBS
| Professional | $69.73 | $69.73 | $87.16 | |
Cigna
| Facility | $65.78 | $69.73 | $69.73 | |
Cigna
| Professional | $69.73 | $69.73 | $95.63 | |
Medica
| Facility | $82.37 | $98.84 | $350.53 | |
Medica
| Professional | $32.95 | $82.37 | $102.72 | |
United
| Professional | $27.89 | $69.73 | $86.95 |