| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.70 | $165.70 | $259.24 | |
Aetna
| Professional | $165.70 | $165.70 | $174.80 | |
Anthem BCBS
| Facility | $340.89 | $499.92 | $927.06 | |
Anthem BCBS
| Professional | $300.00 | $300.00 | $300.00 | |
Cigna
| Facility | $306.00 | $306.00 | $306.00 | |
Cigna
| Professional | $306.00 | $306.00 | $306.00 | |
United
| Professional | $300.00 | $300.00 | $331.20 |