| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.57 | $204.57 | $204.57 | |
Aetna
| Professional | $171.15 | $171.15 | $361.77 | |
Anthem BCBS
| Professional | $290.88 | $387.85 | $650.00 | |
Cigna
| Professional | $445.60 | $445.60 | $533.88 | |
United
| Professional | $173.11 | $173.11 | $173.11 |