| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $321.82 | $321.82 | $321.82 | |
Aetna
| Professional | $260.37 | $272.07 | $321.82 | |
Anthem BCBS
| Professional | $60.08 | $258.47 | $375.30 | |
Cigna
| Professional | $22.70 | $22.70 | $22.70 | |
United
| Professional | $258.47 | $258.47 | $258.47 |