| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.86 | $73.86 | $73.86 | |
Aetna
| Professional | $61.48 | $73.86 | $73.86 | |
Anthem BCBS
| Professional | $62.90 | $157.25 | $213.10 | |
Cigna
| Facility | $40.06 | $137.33 | $249.41 | |
United
| Facility | $3,275.00 | $5,345.00 | $14,963.00 | |
United
| Professional | $63.50 | $92.81 | $224.22 |