| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.45 | $53.45 | $53.45 | |
Aetna
| Professional | $44.50 | $53.45 | $53.45 | |
Anthem BCBS
| Facility | $170.16 | $226.39 | $404.27 | |
Anthem BCBS
| Professional | $60.52 | $107.24 | $145.33 | |
Cigna
| Facility | $48.24 | $74.31 | $151.76 | |
United
| Professional | $48.22 | $79.56 | $267.16 |