| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.78 | $204.17 | $213.80 | |
Anthem BCBS
| Professional | $13.80 | $15.85 | $16.60 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 | |
Cigna
| Professional | $173.78 | $173.78 | $1,000.00 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Facility | $107.15 | $107.15 | $107.15 | |
United
| Professional | $169.82 | $208.93 | $338.84 |