| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $827.81 | $827.81 | $1,102.84 | |
Aetna
| Professional | $816.78 | $857.91 | $1,309.45 | |
Anthem BCBS
| Facility | $1,581.30 | $1,660.37 | $7,299.28 | |
Anthem BCBS
| Professional | $789.90 | $929.30 | $1,300.67 | |
Cigna
| Facility | $1,115.23 | $1,115.23 | $1,115.23 | |
Cigna
| Professional | $814.12 | $814.12 | $1,188.90 | |
Medica
| Facility | $790.78 | $1,279.92 | $7,399.97 | |
Medica
| Professional | $586.76 | $788.90 | $1,922.07 | |
United
| Professional | $586.76 | $788.90 | $1,200.57 |