| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.04 | $357.60 | $643.67 | |
Aetna
| Professional | $143.04 | $143.04 | $143.04 | |
Anthem BCBS
| Facility | $75.28 | $237.24 | $355.86 | |
Anthem BCBS
| Professional | $57.00 | $57.00 | $85.50 | |
Cigna
| Facility | $151.97 | $151.97 | $229.74 | |
Cigna
| Professional | $101.41 | $151.97 | $417.95 | |
United
| Professional | $107.37 | $107.37 | $107.37 |