| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.91 | $133.91 | $133.91 | |
Aetna
| Professional | $62.92 | $104.86 | $127.54 | |
Anthem BCBS
| Professional | $10.41 | $13.96 | $23.93 | |
Cigna
| Professional | $15.77 | $15.77 | $137.59 | |
United
| Professional | $96.58 | $150.93 | $305.95 |