| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $288.40 | $288.40 | |
Aetna
| Professional | $147.91 | $288.40 | $323.59 | |
Anthem BCBS
| Facility | $331.13 | $331.13 | $346.74 | |
Anthem BCBS
| Professional | $147.91 | $147.91 | $147.91 | |
Cigna
| Professional | $151.36 | $151.36 | $208.93 | |
Select Health
| Professional | $338.84 | $338.84 | $338.84 | |
United
| Professional | $181.97 | $295.12 | $575.44 |