| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $107.15 | $239.88 | |
Aetna
| Professional | $38.90 | $56.23 | $66.07 | |
Anthem BCBS
| Facility | $69.18 | $69.18 | $204.17 | |
Anthem BCBS
| Professional | $27.54 | $27.54 | $77.62 | |
Cigna
| Facility | $48.98 | $69.18 | $125.89 | |
Cigna
| Professional | $36.31 | $63.10 | $100.00 | |
United
| Facility | $69.18 | $69.18 | $69.18 | |
United
| Professional | $28.84 | $35.48 | $69.18 |