| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $830.00 | $1,577.00 | $2,195.69 | |
Aetna
| Professional | $830.00 | $830.00 | $850.00 | |
Anthem BCBS
| Professional | $212.00 | $250.00 | $850.00 | |
Cigna
| Facility | $212.00 | $212.00 | $212.00 | |
Cigna
| Professional | $212.00 | $212.00 | $212.00 | |
United
| Professional | $212.00 | $212.00 | $212.00 |