| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.32 | $84.32 | $153.74 | |
Aetna
| Professional | $72.31 | $87.39 | $133.38 | |
Anthem BCBS
| Facility | $138.52 | $145.44 | $639.41 | |
Anthem BCBS
| Professional | $99.85 | $119.07 | $170.97 | |
Cigna
| Facility | $133.72 | $133.72 | $133.72 | |
Cigna
| Professional | $97.62 | $97.62 | $142.55 | |
Medica
| Facility | $82.83 | $138.26 | $620.42 | |
Medica
| Professional | $75.26 | $109.97 | $267.93 | |
United
| Professional | $73.31 | $108.44 | $160.94 |