| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.96 | $104.96 | $121.10 | |
Aetna
| Professional | $104.96 | $121.10 | $240.52 | |
Anthem BCBS
| Facility | $165.09 | $165.09 | $165.09 | |
Anthem BCBS
| Professional | $327.38 | $327.38 | $514.39 | |
Cigna
| Facility | $382.03 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $367.46 | $393.49 | |
United
| Professional | $168.89 | $257.63 | $429.38 |