| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.20 | $77.52 | $93.42 | |
Aetna
| Professional | $81.56 | $84.53 | $129.01 | |
Anthem BCBS
| Facility | $155.80 | $163.59 | $719.17 | |
Anthem BCBS
| Professional | $86.65 | $94.06 | $126.05 | |
Cigna
| Facility | $117.36 | $117.36 | $117.36 | |
Cigna
| Professional | $85.67 | $85.67 | $125.72 | |
Medica
| Facility | $81.56 | $126.11 | $791.34 | |
Medica
| Professional | $62.39 | $77.72 | $189.36 | |
United
| Professional | $59.32 | $77.72 | $116.04 |