| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $269.15 | $602.56 | |
Aetna
| Professional | $134.90 | $141.25 | $208.93 | |
Anthem BCBS
| Facility | $173.78 | $173.78 | $524.81 | |
Anthem BCBS
| Professional | $79.43 | $97.72 | $173.78 | |
Cigna
| Facility | $141.25 | $173.78 | $489.78 | |
Cigna
| Professional | $109.65 | $177.83 | $416.87 | |
United
| Facility | $173.78 | $173.78 | $208.93 | |
United
| Professional | $104.71 | $190.55 | $316.23 |