| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.51 | $73.51 | $136.76 | |
Aetna
| Professional | $65.97 | $76.18 | $116.28 | |
Anthem BCBS
| Facility | $120.10 | $126.11 | $554.38 | |
Anthem BCBS
| Professional | $91.17 | $114.28 | $161.76 | |
Cigna
| Facility | $128.79 | $128.79 | $128.79 | |
Cigna
| Professional | $94.02 | $94.02 | $137.30 | |
Medica
| Facility | $53.96 | $120.10 | $532.72 | |
Medica
| Professional | $68.23 | $96.86 | $235.99 | |
United
| Professional | $68.23 | $96.86 | $218.65 |