| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $269.15 | $331.13 | |
Aetna
| Professional | $128.82 | $134.90 | $162.18 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $138.04 | $251.19 | $251.19 | |
Cigna
| Facility | $138.04 | $138.04 | $138.04 | |
Cigna
| Professional | $138.04 | $138.04 | $138.04 | |
United
| Professional | $218.78 | $331.13 | $331.13 |