| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $407.38 | $446.68 | |
Aetna
| Professional | $100.00 | $630.96 | $912.01 | |
Anthem BCBS
| Professional | $123.03 | $147.91 | $199.53 | |
Cigna
| Facility | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $812.83 | $812.83 | $4,265.80 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Professional | $660.69 | $812.83 | $1,412.54 |