| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $43.65 | $77.62 | $107.15 | |
Anthem BCBS
| Professional | $109.65 | $190.55 | $302.00 | |
Cigna
| Professional | $21.88 | $27.54 | $48.98 | |
United
| Professional | $58.88 | $114.82 | $204.17 |