| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $74.13 | $165.96 | |
Aetna
| Professional | $32.36 | $38.90 | $83.18 | |
Anthem BCBS
| Facility | $46.77 | $46.77 | $141.25 | |
Anthem BCBS
| Professional | $18.62 | $18.62 | $87.10 | |
Cigna
| Facility | $30.90 | $46.77 | $104.71 | |
Cigna
| Professional | $21.88 | $42.66 | $85.11 | |
United
| Facility | $46.77 | $46.77 | $46.77 | |
United
| Professional | $19.95 | $28.18 | $46.77 |