| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.31 | $292.31 | $292.31 | |
Aetna
| Professional | $242.71 | $292.31 | $311.20 | |
Anthem BCBS
| Professional | $112.46 | $146.81 | $500.00 | |
Cigna
| Professional | $116.04 | $116.04 | $116.04 | |
United
| Professional | $57.70 | $57.70 | $57.70 |