| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $967.29 | $967.29 | $1,986.94 | |
Aetna
| Professional | $180.00 | $690.18 | $967.29 | |
Anthem BCBS
| Professional | $22.50 | $30.00 | $33.00 | |
Cigna
| Professional | $240.52 | $240.52 | $240.52 | |
United
| Professional | $437.68 | $437.68 | $437.68 |