| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $104.71 | $104.71 | $213.80 | |
Anthem BCBS
| Facility | $524.81 | $602.56 | $691.83 | |
Cigna
| Facility | $213.80 | $213.80 | $213.80 | |
United
| Facility | $128.82 | $128.82 | $128.82 |