| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $342.32 | $506.34 | $522.54 | |
Aetna
| Professional | $342.32 | $392.24 | $713.16 | |
Anthem BCBS
| Facility | $749.26 | $786.72 | $3,458.58 | |
Anthem BCBS
| Professional | $401.37 | $424.98 | $698.42 | |
Cigna
| Facility | $564.36 | $564.36 | $564.36 | |
Cigna
| Professional | $411.98 | $411.98 | $581.29 | |
Medica
| Facility | $342.32 | $603.82 | $3,490.81 | |
Medica
| Professional | $277.85 | $400.49 | $628.67 | |
United
| Professional | $277.85 | $376.69 | $550.65 |