| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.08 | $182.08 | $242.57 | |
Aetna
| Professional | $165.52 | $188.70 | $288.01 | |
Anthem BCBS
| Facility | $347.81 | $365.20 | $1,605.49 | |
Anthem BCBS
| Professional | $169.72 | $177.26 | $281.39 | |
Cigna
| Facility | $181.86 | $181.86 | $181.86 | |
Cigna
| Professional | $132.76 | $132.76 | $187.32 | |
Medica
| Facility | $161.71 | $280.30 | $1,549.83 | |
Medica
| Professional | $120.30 | $173.51 | $422.75 | |
United
| Facility | $111.88 | $145.19 | $278.25 | |
United
| Professional | $120.30 | $171.97 | $251.45 |