| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.00 | $545.80 | $563.29 | |
Aetna
| Professional | $369.00 | $422.81 | $768.74 | |
Anthem BCBS
| Facility | $807.66 | $848.04 | $3,728.16 | |
Anthem BCBS
| Professional | $415.38 | $440.91 | $657.33 | |
Cigna
| Facility | $525.23 | $525.23 | $525.23 | |
Cigna
| Professional | $383.42 | $383.42 | $559.92 | |
Medica
| Facility | $369.00 | $676.49 | $3,779.52 | |
Medica
| Professional | $301.43 | $436.51 | $716.98 | |
United
| Professional | $301.43 | $405.99 | $606.97 |