| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $335.63 | |
Aetna
| Professional | $216.30 | $335.63 | $541.44 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
Anthem BCBS
| Professional | $23.98 | $23.98 | $575.28 | |
Cigna
| Facility | $358.29 | $358.29 | $358.29 | |
Cigna
| Professional | $358.29 | $358.29 | $358.29 | |
United
| Professional | $676.80 | $676.80 | $904.07 |