| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $213.80 | |
Aetna
| Professional | $125.89 | $269.15 | $316.23 | |
Anthem BCBS
| Facility | $257.04 | $331.13 | $398.11 | |
Anthem BCBS
| Professional | $97.72 | $239.88 | $275.42 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 | |
United
| Professional | $128.82 | $269.15 | $426.58 |