| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $54.95 | |
Aetna
| Professional | $40.74 | $54.95 | $64.57 | |
Anthem BCBS
| Professional | $44.67 | $64.57 | $97.72 | |
Cigna
| Professional | $89.13 | $89.13 | $89.13 | |
Select Health
| Professional | $38.02 | $54.95 | $60.26 | |
United
| Professional | $51.29 | $69.18 | $100.00 |