| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $362.10 | $362.10 | $434.52 | |
Aetna
| Professional | $362.10 | $376.31 | $393.75 | |
Anthem BCBS
| Professional | $427.04 | $427.04 | $427.04 | |
Cigna
| Facility | $316.74 | $316.74 | $316.74 | |
Cigna
| Professional | $52.19 | $316.74 | $326.24 | |
United
| Professional | $168.66 | $276.39 | $583.03 | |
Well Sense
| Professional | $509.96 | $565.03 | $719.12 |