| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $656.77 | $656.77 | $874.99 | |
Aetna
| Professional | $648.00 | $680.65 | $1,038.89 | |
Anthem BCBS
| Facility | $1,254.58 | $1,317.31 | $5,791.14 | |
Anthem BCBS
| Professional | $626.91 | $737.29 | $1,015.40 | |
Cigna
| Facility | $741.89 | $741.89 | $741.89 | |
Cigna
| Professional | $541.58 | $541.58 | $790.90 | |
Medica
| Facility | $627.40 | $1,015.46 | $5,871.01 | |
Medica
| Professional | $465.52 | $625.90 | $1,524.94 | |
United
| Professional | $465.52 | $625.90 | $927.84 |