| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $190.55 | $426.58 | |
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 | $138.04 | $177.83 | |
Cigna
| Professional | $66.07 | $109.65 | $234.42 | |
United
| Facility | $123.03 | $123.03 | $123.03 | |
United
| Professional | $51.29 | $74.13 | $134.90 |