| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.00 | $76.00 | $101.25 | |
Aetna
| Professional | $76.00 | $78.76 | $120.22 | |
Anthem BCBS
| Facility | $145.16 | $152.43 | $670.10 | |
Anthem BCBS
| Professional | $76.73 | $85.01 | $117.45 | |
Cigna
| Facility | $100.43 | $100.43 | $100.43 | |
Cigna
| Professional | $73.31 | $73.31 | $107.06 | |
Medica
| Facility | $71.84 | $117.00 | $757.74 | |
Medica
| Professional | $60.01 | $72.43 | $176.45 | |
United
| Professional | $55.81 | $72.43 | $111.61 |