| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,403.77 | $1,403.77 | $1,403.77 | |
Aetna
| Professional | $27.05 | $32.40 | $46.05 | |
Anthem BCBS
| Professional | $16.44 | $43.33 | $56.09 | |
Cigna
| Professional | $35.19 | $35.19 | $35.19 | |
United
| Professional | $41.44 | $65.36 | $129.50 |