| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.04 | $257.04 | $257.04 | |
Aetna
| Professional | $151.36 | $323.59 | $389.05 | |
Anthem BCBS
| Facility | $316.23 | $407.38 | $489.78 | |
Anthem BCBS
| Professional | $134.90 | $288.40 | $398.11 | |
Cigna
| Professional | $169.82 | $169.82 | $169.82 | |
United
| Professional | $158.49 | $323.59 | $524.81 |