| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $263.03 | $263.03 | $263.03 | |
Aetna
| Professional | $125.89 | $218.78 | $309.03 | |
Anthem BCBS
| Professional | $50.12 | $63.10 | $295.12 | |
Cigna
| Professional | $239.88 | $239.88 | $239.88 | |
United
| Professional | $208.93 | $316.23 | $371.54 |