| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.23 | $105.23 | $105.23 | |
Aetna
| Professional | $84.09 | $105.23 | $105.23 | |
Anthem BCBS
| Professional | $68.45 | $133.28 | $176.92 | |
Cigna
| Facility | $979.97 | $979.97 | $2,298.66 | |
United
| Professional | $75.80 | $123.28 | $190.99 |