| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $70.79 | |
Aetna
| Professional | $52.48 | $61.66 | $70.79 | |
Anthem BCBS
| Professional | $69.18 | $100.00 | $141.25 | |
Cigna
| Professional | $91.20 | $112.20 | $147.91 | |
Select Health
| Professional | $64.57 | $70.79 | $70.79 | |
United
| Professional | $70.79 | $102.33 | $151.36 |