| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $537.03 | $537.03 | |
Aetna
| Professional | $323.59 | $524.81 | $645.65 | |
Anthem BCBS
| Professional | $537.03 | $549.54 | $645.65 | |
Cigna
| Professional | $645.65 | $645.65 | $645.65 | |
Select Health
| Professional | $891.25 | $912.01 | $933.25 | |
United
| Facility | $45.71 | $302.00 | $457.09 | |
United
| Professional | $109.65 | $389.05 | $588.84 |