| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.76 | $114.76 | $114.76 | |
Aetna
| Professional | $95.53 | $114.76 | $114.76 | |
Anthem BCBS
| Professional | $53.15 | $74.73 | $96.91 | |
Cigna
| Facility | $321.97 | $433.48 | $755.25 | |
United
| Professional | $72.44 | $99.27 | $205.97 |