| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $574.96 | $574.96 | $785.24 | |
Aetna
| Professional | $567.29 | $595.87 | $909.48 | |
Anthem BCBS
| Facility | $1,098.30 | $1,153.22 | $5,069.75 | |
Anthem BCBS
| Professional | $567.12 | $659.29 | $954.95 | |
Cigna
| Facility | $616.27 | $616.27 | $616.27 | |
Cigna
| Professional | $449.88 | $449.88 | $656.98 | |
Medica
| Facility | $595.87 | $915.32 | $5,140.93 | |
Medica
| Professional | $410.02 | $547.92 | $1,334.96 | |
United
| Professional | $391.74 | $547.92 | $944.03 |