| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.75 | $223.75 | $298.08 | |
Aetna
| Professional | $220.75 | $231.89 | $353.93 | |
Anthem BCBS
| Facility | $427.42 | $448.79 | $1,972.97 | |
Anthem BCBS
| Professional | $212.42 | $233.68 | $351.56 | |
Cigna
| Facility | $252.01 | $252.01 | $252.01 | |
Cigna
| Professional | $183.97 | $183.97 | $268.64 | |
Medica
| Facility | $213.91 | $345.96 | $2,000.04 | |
Medica
| Professional | $158.59 | $213.23 | $519.52 | |
United
| Professional | $158.59 | $213.23 | $324.49 |