| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.63 | $101.63 | $135.41 | |
Aetna
| Professional | $100.31 | $105.33 | $160.77 | |
Anthem BCBS
| Facility | $194.14 | $203.85 | $896.15 | |
Anthem BCBS
| Professional | $96.53 | $105.27 | $157.13 | |
Cigna
| Facility | $112.22 | $112.22 | $112.22 | |
Cigna
| Professional | $81.92 | $81.92 | $81.92 | |
Medica
| Facility | $97.08 | $157.13 | $908.81 | |
Medica
| Professional | $72.06 | $96.86 | $235.99 | |
United
| Professional | $72.06 | $96.86 | $168.11 |