| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $812.83 | $1,445.44 | |
Aetna
| Professional | $263.03 | $295.12 | $371.54 | |
Anthem BCBS
| Professional | $60.26 | $165.96 | $263.03 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
United
| Professional | $199.53 | $199.53 | $199.53 |