| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $199.53 | $338.84 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.04 | |
Anthem BCBS
| Professional | $208.93 | $208.93 | $208.93 | |
Cigna
| Facility | $275.42 | $275.42 | $295.12 | |
Cigna
| Professional | $208.93 | $208.93 | $208.93 | |
United
| Professional | $234.42 | $234.42 | $234.42 |