| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $328.88 | $718.55 | $18,783.37 | |
Aetna
| Professional | $137.47 | $252.41 | $718.55 | |
Anthem BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
Cigna
| Professional | $165.00 | $165.00 | $165.00 | |
United
| Professional | $50.00 | $50.00 | $50.00 |