| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.93 | $208.93 | $208.93 | |
Aetna
| Professional | $44.67 | $109.65 | $208.93 | |
Anthem BCBS
| Facility | $8.32 | $8.32 | $16.22 | |
Anthem BCBS
| Professional | $8.32 | $10.23 | $17.78 | |
Cigna
| Professional | $10.96 | $21.88 | $43.65 | |
United
| Facility | $6.03 | $10.72 | $23.99 | |
United
| Professional | $9.33 | $13.18 | $23.99 |