| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $780.60 | $780.60 | $780.60 | |
Aetna
| Professional | $780.60 | $780.60 | $780.60 | |
Anthem BCBS
| Professional | $318.68 | $354.09 | $436.61 | |
Cigna
| Facility | $1,223.88 | $1,471.10 | $1,633.24 | |
United
| Facility | $650.50 | $845.65 | $1,463.63 |