| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.33 | $168.33 | $240.00 | |
Aetna
| Professional | $168.33 | $202.01 | $249.69 | |
Anthem BCBS
| Professional | $158.37 | $211.16 | $309.27 | |
Cigna
| Facility | $212.14 | $212.14 | $212.14 | |
Cigna
| Professional | $146.27 | $146.27 | $873.09 | |
Molina
| Professional | $32.34 | $32.34 | $236.56 | |
United
| Professional | $154.68 | $217.71 | $377.48 |