| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.43 | $83.43 | $153.00 | |
Aetna
| Professional | $153.00 | $340.00 | $340.00 | |
Anthem BCBS
| Facility | $174.00 | $260.00 | $603.00 | |
Anthem BCBS
| Professional | $150.00 | $202.00 | $113,999.98 | |
Cigna
| Facility | $88.05 | $203.07 | $351.64 | |
United
| Professional | $45.15 | $45.15 | $45.15 |