| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.11 | $149.11 | $149.11 | |
Aetna
| Professional | $99.34 | $142.30 | $149.11 | |
Anthem BCBS
| Professional | $61.29 | $130.91 | $191.24 | |
Cigna
| Facility | $755.72 | $1,023.99 | $1,772.63 | |
United
| Professional | $47.37 | $127.75 | $187.20 |