| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $4,677.35 | $8,511.38 | |
Aetna
| Professional | $53.70 | $79.43 | $100.00 | |
Anthem BCBS
| Professional | $28.84 | $37.15 | $63.10 | |
Cigna
| Professional | $125.89 | $125.89 | $371.54 | |
United
| Professional | $70.79 | $97.72 | $162.18 |