| 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 | $63.73 | $319.98 | $436.61 | |
Cigna
| Facility | $1,223.88 | $1,471.10 | $1,633.24 | |
United
| Professional | $467.87 | $467.87 | $545.32 |