| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $906.54 | $906.54 | $906.54 | |
Aetna
| Professional | $906.54 | $906.54 | $906.54 | |
Anthem BCBS
| Professional | $10.00 | $50.00 | $50.00 | |
Cigna
| Professional | $510.39 | $510.39 | $611.51 | |
United
| Professional | $168.19 | $224.52 | $336.05 |