| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.40 | $707.40 | $707.40 | |
Aetna
| Professional | $410.29 | $674.73 | $707.40 | |
Anthem BCBS
| Professional | $524.79 | $532.37 | $532.37 | |
Cigna
| Professional | $643.37 | $643.37 | $643.37 | |
United
| Professional | $295.11 | $432.37 | $615.97 |