| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.99 | $54.99 | $54.99 | |
Aetna
| Professional | $50.93 | $54.99 | $54.99 | |
Anthem BCBS
| Professional | $34.38 | $42.72 | $338.96 | |
Cigna
| Facility | $128.11 | $377.14 | $563.50 | |
United
| Professional | $34.63 | $60.40 | $88.88 |