| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.76 | $223.22 | $250.04 | |
Aetna
| Professional | $218.76 | $257.49 | $1,038.83 | |
Anthem BCBS
| Professional | $63.00 | $200.02 | $295.37 | |
Cigna
| Professional | $191.36 | $191.36 | $191.36 | |
United
| Professional | $200.00 | $269.38 | $383.06 |