| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $903.19 | $903.19 | $903.19 | |
Aetna
| Professional | $573.46 | $573.46 | $573.46 | |
Anthem BCBS
| Professional | $397.83 | $530.44 | $530.44 | |
Cigna
| Professional | $384.31 | $384.31 | $612.77 | |
United
| Professional | $504.01 | $585.11 | $830.63 |