| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $805.20 | $5,063.00 | $7,631.00 | |
Aetna
| Professional | $805.20 | $805.20 | $805.20 | |
Anthem BCBS
| Professional | $76.56 | $78.48 | $90.08 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $315.58 | $651.35 | $651.35 | |
United
| Facility | $625.00 | $3,587.00 | $9,079.00 |