| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.25 | $220.25 | $393.35 | |
Aetna
| Professional | $198.72 | $228.26 | $348.39 | |
Anthem BCBS
| Facility | $367.46 | $385.83 | $1,696.20 | |
Anthem BCBS
| Professional | $262.24 | $327.38 | $465.27 | |
Cigna
| Facility | $382.03 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $278.88 | $393.49 | |
Medica
| Facility | $165.09 | $353.45 | $1,660.98 | |
Medica
| Professional | $202.09 | $278.58 | $678.77 | |
United
| Professional | $185.73 | $278.58 | $573.84 |