| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $436.52 | $524.81 | |
Aetna
| Professional | $436.52 | $436.52 | $537.03 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Facility | $269.15 | $891.25 | $1,174.90 | |
United
| Facility | $371.54 | $977.24 | $977.24 | |
United
| Professional | $707.95 | $707.95 | $707.95 |