| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.36 | $263.03 | $302.00 | |
Aetna
| Professional | $102.33 | $131.83 | $165.96 | |
Anthem BCBS
| Professional | $5.89 | $87.10 | $251.19 | |
Cigna
| Facility | $204.17 | $302.00 | $371.54 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 | |
Medica
| Facility | $134.90 | $186.21 | $741.31 | |
Medica
| Professional | $66.07 | $93.33 | $776.25 | |
United
| Facility | $66.07 | $158.49 | $186.21 | |
United
| Professional | $66.07 | $93.33 | $173.78 |