| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $794.33 | $1,318.26 | |
Aetna
| Professional | $75.86 | $114.82 | $275.42 | |
Anthem BCBS
| Professional | $89.13 | $134.90 | $173.78 | |
Cigna
| Facility | $89.13 | $89.13 | $234.42 | |
Cigna
| Professional | $93.33 | $154.88 | $302.00 | |
United
| Professional | $107.15 | $107.15 | $181.97 |