| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $42.66 | $56.23 | $67.61 | |
Anthem BCBS
| Professional | $64.57 | $87.10 | $125.89 | |
Cigna
| Facility | $37.15 | $37.15 | $37.15 | |
Cigna
| Professional | $89.13 | $97.72 | $112.20 | |
Select Health
| Professional | $57.54 | $57.54 | $69.18 | |
United
| Facility | $2,630.27 | $6,760.83 | $12,882.50 | |
United
| Professional | $48.98 | $67.61 | $102.33 |