| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.55 | $177.55 | $236.54 | |
Aetna
| Professional | $175.18 | $184.00 | $280.83 | |
Anthem BCBS
| Facility | $339.15 | $356.11 | $1,565.52 | |
Anthem BCBS
| Professional | $168.56 | $185.44 | $278.95 | |
Cigna
| Facility | $227.96 | $227.96 | $227.96 | |
Cigna
| Professional | $166.41 | $166.41 | $234.80 | |
Medica
| Facility | $169.75 | $274.51 | $1,593.03 | |
Medica
| Professional | $125.85 | $169.20 | $412.23 | |
United
| Professional | $118.93 | $169.20 | $250.82 |