| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $1,949.84 | $3,890.45 | |
Aetna
| Professional | $316.23 | $446.68 | $478.63 | |
Anthem BCBS
| Professional | $19.95 | $19.95 | $19.95 | |
Cigna
| Professional | $489.78 | $489.78 | $616.60 | |
United
| Professional | $199.53 | $223.87 | $338.84 |