| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $316.23 | $741.31 | |
Aetna
| Professional | $131.83 | $165.96 | $194.98 | |
Anthem BCBS
| Facility | $204.17 | $204.17 | $602.56 | |
Anthem BCBS
| Professional | $81.28 | $81.28 | $169.82 | |
Cigna
| Facility | $144.54 | $186.21 | $288.40 | |
Cigna
| Professional | $89.13 | $181.97 | $380.19 | |
United
| Facility | $204.17 | $204.17 | $204.17 | |
United
| Professional | $85.11 | $120.23 | $204.17 |