| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,014.75 | $1,127.82 | $1,193.36 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $440.45 | $440.45 | $457.73 | |
Cigna
| Facility | $457.73 | $457.73 | $457.73 | |
Cigna
| Professional | $457.73 | $457.73 | $457.73 | |
United
| Professional | $492.27 | $518.17 | $518.17 |