| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.18 | $403.18 | $537.14 | |
Aetna
| Professional | $403.18 | $417.84 | $637.75 | |
Anthem BCBS
| Facility | $770.16 | $808.67 | $3,555.06 | |
Anthem BCBS
| Professional | $392.08 | $437.46 | $633.50 | |
Cigna
| Facility | $512.80 | $512.80 | $512.80 | |
Cigna
| Professional | $374.35 | $374.35 | $528.19 | |
Medica
| Facility | $399.22 | $623.38 | $3,769.74 | |
Medica
| Professional | $296.88 | $384.23 | $936.14 | |
United
| Professional | $280.57 | $384.23 | $556.79 |