| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $776.44 | $1,121.84 | $1,146.90 | |
Anthem BCBS
| Professional | $781.38 | $781.38 | $900.13 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $64.16 | $170.00 | $200.00 | |
United
| Professional | $403.69 | $657.64 | $876.97 |