| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.00 | $230.00 | $349.00 | |
Anthem BCBS
| Facility | $314.12 | $383.00 | $511.00 | |
Cigna
| Facility | $350.00 | $350.00 | $350.00 | |
Medica
| Facility | $627.00 | $627.00 | $627.00 | |
United
| Facility | $640.00 | $640.00 | $640.00 |