| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.77 | $607.60 | $627.05 | |
Aetna
| Professional | $410.77 | $470.68 | $855.78 | |
Anthem BCBS
| Facility | $899.10 | $944.06 | $4,150.25 | |
Anthem BCBS
| Professional | $481.65 | $510.00 | $727.69 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $385.98 | $563.66 | |
Medica
| Facility | $410.77 | $724.60 | $4,189.10 | |
Medica
| Professional | $333.44 | $480.60 | $754.47 | |
United
| Professional | $333.44 | $451.96 | $636.70 |