| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $689.00 | $689.00 | $689.00 | |
Anthem BCBS
| Facility | $904.00 | $1,368.00 | $3,871.00 | |
Cigna
| Facility | $635.00 | $1,500.00 | $1,949.04 | |
United
| Facility | $299.00 | $743.78 | $1,716.00 |