| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.04 | $173.04 | $309.70 | |
Aetna
| Professional | $156.91 | $179.33 | $273.70 | |
Anthem BCBS
| Facility | $288.39 | $302.81 | $1,331.21 | |
Anthem BCBS
| Professional | $206.47 | $266.83 | $366.34 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $227.98 | $321.67 | |
Medica
| Facility | $129.57 | $277.39 | $1,271.08 | |
Medica
| Professional | $164.72 | $219.35 | $534.41 | |
United
| Professional | $146.22 | $219.35 | $377.46 |