| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $218.78 | $218.78 | $218.78 | |
Aetna
| Professional | $120.23 | $169.82 | $218.78 | |
Anthem BCBS
| Professional | $158.49 | $213.80 | $389.05 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
United
| Professional | $169.82 | $218.78 | $316.23 |