| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.36 | $211.36 | $211.36 | |
Aetna
| Professional | $211.36 | $211.36 | $269.23 | |
Anthem BCBS
| Professional | $130.71 | $192.72 | $244.74 | |
Cigna
| Facility | $749.87 | $749.87 | $749.87 | |
United
| Professional | $185.04 | $227.01 | $413.43 |