| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.20 | $65.20 | $65.20 | |
Aetna
| Professional | $54.28 | $65.20 | $65.20 | |
Anthem BCBS
| Professional | $40.19 | $55.39 | $65.72 | |
Cigna
| Facility | $48.24 | $74.31 | $151.76 | |
United
| Professional | $58.17 | $84.97 | $182.64 |