| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.58 | $448.79 | $689.87 | |
Aetna
| Professional | $340.75 | $448.79 | $919.25 | |
Anthem BCBS
| Professional | $56.24 | $127.65 | $199.12 | |
Cigna
| Facility | $121.00 | $121.00 | $121.00 | |
Cigna
| Professional | $420.98 | $818.96 | $942.97 | |
Molina
| Professional | $45.00 | $45.00 | $361.06 | |
United
| Professional | $673.89 | $827.90 | $1,226.47 |