| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.32 | $60.32 | $80.37 | |
Aetna
| Professional | $59.51 | $62.51 | $95.41 | |
Anthem BCBS
| Facility | $115.22 | $120.98 | $531.86 | |
Anthem BCBS
| Professional | $57.27 | $62.92 | $93.25 | |
Cigna
| Facility | $64.66 | $64.66 | $64.66 | |
Cigna
| Professional | $47.20 | $64.66 | $91.88 | |
Medica
| Facility | $57.68 | $93.26 | $539.41 | |
Medica
| Professional | $42.77 | $57.48 | $140.05 | |
United
| Professional | $43.02 | $57.48 | $115.79 |