| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $72.44 | $72.44 | |
Aetna
| Professional | $51.29 | $66.07 | $77.62 | |
Anthem BCBS
| Professional | $63.10 | $169.82 | $208.93 | |
Cigna
| Facility | $39.81 | $134.90 | $154.88 | |
United
| Facility | $3,311.31 | $6,165.95 | $15,135.61 | |
United
| Professional | $63.10 | $93.33 | $213.80 |