| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $412.76 | $430.80 | $443.66 | |
Anthem BCBS
| Professional | $416.50 | $450.08 | $720.96 | |
Cigna
| Facility | $128.00 | $128.00 | $128.00 | |
Cigna
| Professional | $108.80 | $128.00 | $435.94 | |
United
| Professional | $284.39 | $402.32 | $664.92 |