| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $190.55 | $407.38 | |
Aetna
| Professional | $91.20 | $100.00 | $117.49 | |
Anthem BCBS
| Facility | $123.03 | $123.03 | $363.08 | |
Anthem BCBS
| Professional | $60.26 | $60.26 | $123.03 | |
Cigna
| Facility | $97.72 | $123.03 | $269.15 | |
Cigna
| Professional | $69.18 | $138.04 | $194.98 | |
United
| Facility | $123.03 | $123.03 | $123.03 | |
United
| Professional | $51.29 | $74.13 | $134.90 |