| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $467.74 | $524.81 | |
Aetna
| Professional | $199.53 | $199.53 | $199.53 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $213.80 | |
Anthem BCBS
| Professional | $199.53 | $208.93 | $208.93 | |
Cigna
| Facility | $208.93 | $208.93 | $208.93 | |
Cigna
| Professional | $208.93 | $208.93 | $208.93 | |
United
| Professional | $223.87 | $234.42 | $234.42 |