| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.20 | $80.20 | $91.86 | |
Aetna
| Professional | $71.97 | $83.11 | $126.85 | |
Anthem BCBS
| Facility | $130.91 | $137.46 | $604.28 | |
Anthem BCBS
| Professional | $39.00 | $39.00 | $141.77 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $38.08 | $38.08 | $53.74 | |
Medica
| Facility | $47.06 | $123.99 | $580.79 | |
Medica
| Professional | $78.48 | $105.85 | $257.89 | |
United
| Professional | $78.48 | $105.85 | $183.65 |