| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $805.20 | $805.20 | $4,846.00 | |
Aetna
| Professional | $805.20 | $805.20 | $805.20 | |
Anthem BCBS
| Facility | $59.74 | $59.74 | $115.30 | |
Anthem BCBS
| Professional | $59.74 | $78.84 | $124.00 | |
Cigna
| Professional | $105.40 | $124.00 | $124.00 | |
United
| Facility | $2,062.00 | $5,167.00 | $10,396.00 |