| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $70.79 | $158.49 | |
Aetna
| Professional | $28.18 | $36.31 | $42.66 | |
Anthem BCBS
| Facility | $44.67 | $44.67 | $134.90 | |
Anthem BCBS
| Professional | $17.78 | $17.78 | $36.31 | |
Cigna
| Facility | $29.51 | $44.67 | $81.28 | |
Cigna
| Professional | $20.89 | $41.69 | $87.10 | |
United
| Facility | $44.67 | $44.67 | $44.67 | |
United
| Professional | $19.05 | $26.92 | $44.67 |