| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $906.54 | $906.54 | $906.54 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $42.50 | |
Cigna
| Professional | $486.32 | $510.39 | $611.51 | |
United
| Professional | $149.68 | $224.52 | $336.05 |