| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $302.00 | |
Aetna
| Professional | $87.10 | $87.10 | $398.11 | |
Anthem BCBS
| Professional | $42.66 | $67.61 | $93.33 | |
Cigna
| Professional | $288.40 | $288.40 | $288.40 | |
United
| Professional | $50.12 | $60.26 | $363.08 |