| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.63 | $78.03 | $640.08 | |
Aetna
| Professional | $67.63 | $78.03 | $174.07 | |
Anthem BCBS
| Facility | $115.53 | $115.53 | $115.53 | |
Anthem BCBS
| Professional | $236.66 | $239.42 | $372.27 | |
Cigna
| Facility | $278.10 | $278.10 | $278.10 | |
Cigna
| Professional | $203.01 | $265.94 | $286.44 | |
United
| Professional | $86.65 | $186.23 | $310.39 |