| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $630.61 | $872.73 | $892.30 | |
Anthem BCBS
| Professional | $608.02 | $608.02 | $700.42 | |
Cigna
| Facility | $687.90 | $687.90 | $687.90 | |
Cigna
| Professional | $584.72 | $687.90 | $687.90 | |
United
| Professional | $314.17 | $511.60 | $682.33 |