| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Aetna
| Professional | $501.19 | $812.83 | $1,000.00 | |
Anthem BCBS
| Professional | $24.55 | $263.03 | $870.96 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
United
| Professional | $309.03 | $1,071.52 | $1,778.28 |