| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $251.19 | $251.19 | |
Aetna
| Professional | $89.13 | $173.78 | $281.84 | |
Anthem BCBS
| Professional | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $162.18 | $162.18 | $162.18 | |
Select Health
| Professional | $165.96 | $165.96 | $165.96 | |
United
| Professional | $269.15 | $269.15 | $269.15 |