| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $173.78 | $173.78 | |
Aetna
| Professional | $169.82 | $169.82 | $173.78 | |
Anthem BCBS
| Facility | $645.65 | $933.25 | $1,071.52 | |
Anthem BCBS
| Professional | $549.54 | $645.65 | $1,000.00 | |
Cigna
| Facility | $64.57 | $79.43 | $81.28 | |
Cigna
| Professional | $93.33 | $851.14 | $851.14 | |
United
| Facility | $194.98 | $194.98 | $194.98 |