| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $131.83 | $131.83 | |
Aetna
| Professional | $64.57 | $102.33 | $123.03 | |
Anthem BCBS
| Professional | $20.42 | $30.20 | $50.12 | |
Cigna
| Professional | $128.82 | $128.82 | $138.04 | |
United
| Professional | $95.50 | $144.54 | $295.12 |