| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.89 | $477.89 | $477.89 | |
Aetna
| Professional | $477.89 | $501.78 | $894.15 | |
Anthem BCBS
| Facility | $17.30 | $17.30 | $33.40 | |
Anthem BCBS
| Professional | $17.30 | $56.24 | $199.12 | |
Cigna
| Professional | $818.96 | $818.96 | $818.96 | |
United
| Professional | $620.92 | $797.50 | $1,282.89 |