| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $114.82 | |
Aetna
| Professional | $56.23 | $93.33 | $109.65 | |
Anthem BCBS
| Professional | $57.54 | $85.11 | $97.72 | |
Cigna
| Facility | $331.13 | $407.38 | $467.74 | |
United
| Professional | $70.79 | $95.50 | $199.53 |