| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $794.33 | $977.24 | $1,584.89 | |
Anthem BCBS
| Professional | $794.33 | $933.25 | $1,548.82 | |
Cigna
| Professional | $794.33 | $1,122.02 | $2,089.30 | |
United
| Professional | $794.33 | $1,047.13 | $1,621.81 |