| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.50 | $195.39 | $2,926.26 | |
Aetna
| Professional | $3.40 | $13.01 | $17.50 | |
Anthem BCBS
| Facility | $648.00 | $648.00 | $1,250.64 | |
Anthem BCBS
| Professional | $648.00 | $648.00 | $894.24 | |
Cigna
| Facility | $17.32 | $17.32 | $17.32 | |
Cigna
| Professional | $17.32 | $17.32 | $17.70 | |
United
| Professional | $20.38 | $20.38 | $27.22 |