| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.88 | $256.27 | $356.80 | |
Aetna
| Professional | $134.88 | $134.88 | $138.13 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $137.80 | $249.19 | $249.19 | |
Cigna
| Facility | $137.80 | $137.80 | $137.80 | |
Cigna
| Professional | $137.80 | $137.80 | $137.80 | |
United
| Professional | $316.31 | $332.96 | $332.96 |