| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $616.60 | |
Aetna
| Professional | $512.86 | $575.44 | $741.31 | |
Ambetter
| Professional | $630.96 | $630.96 | $630.96 | |
Anthem BCBS
| Professional | $501.19 | $676.08 | $1,380.38 | |
Cigna
| Professional | $588.84 | $794.33 | $1,202.26 | |
Select Health
| Professional | $199.53 | $537.03 | $562.34 | |
United
| Professional | $501.19 | $707.95 | $1,023.29 |