| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $77.62 | $117.49 | $151.36 |
Aetna
| Professional | $114.82 | $125.89 | $257.04 | |
Anthem BCBS
| Professional | $144.54 | $194.98 | $323.59 | |
Cigna
| Professional | $125.89 | $263.03 | $309.03 | |
United
| Professional | $125.89 | $154.88 | $257.04 |