| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.72 | $108.72 | $144.84 | |
Aetna
| Professional | $107.29 | $112.67 | $171.97 | |
Anthem BCBS
| Facility | $207.68 | $218.06 | $958.65 | |
Anthem BCBS
| Professional | $103.23 | $114.28 | $168.09 | |
Cigna
| Facility | $147.05 | $147.05 | $147.05 | |
Cigna
| Professional | $107.35 | $107.35 | $107.35 | |
Medica
| Facility | $104.61 | $168.09 | $981.02 | |
Medica
| Professional | $77.55 | $103.61 | $252.43 | |
United
| Professional | $73.29 | $102.66 | $150.13 |