| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $426.38 | $441.88 | $891.91 | |
Aetna
| Professional | $426.38 | $441.88 | $674.45 | |
Anthem BCBS
| Facility | $814.47 | $855.19 | $3,759.59 | |
Anthem BCBS
| Professional | $436.21 | $496.06 | $671.13 | |
Cigna
| Facility | $579.51 | $579.51 | $579.51 | |
Cigna
| Professional | $423.04 | $579.51 | $784.00 | |
Medica
| Facility | $426.38 | $741.54 | $4,272.47 | |
Medica
| Professional | $336.64 | $406.33 | $996.70 | |
United
| Professional | $313.08 | $406.33 | $836.96 |