| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $457.09 | $537.03 | |
Aetna
| Professional | $181.97 | $234.42 | $295.12 | |
Anthem BCBS
| Professional | $199.53 | $229.09 | $436.52 | |
Cigna
| Facility | $354.81 | $524.81 | $660.69 | |
Cigna
| Professional | $316.23 | $316.23 | $316.23 | |
Medica
| Facility | $239.88 | $331.13 | $1,318.26 | |
Medica
| Professional | $114.82 | $165.96 | $1,380.38 | |
United
| Facility | $114.82 | $275.42 | $331.13 | |
United
| Professional | $114.82 | $165.96 | $302.00 |