| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.81 | $73.81 | $73.81 | |
Aetna
| Professional | $73.81 | $73.81 | $73.81 | |
Anthem BCBS
| Facility | $76.01 | $112.22 | $221.28 | |
Anthem BCBS
| Professional | $66.43 | $66.43 | $66.43 | |
Cigna
| Facility | $72.52 | $72.52 | $72.52 | |
Cigna
| Professional | $72.52 | $72.52 | $72.52 | |
United
| Professional | $69.93 | $73.81 | $81.20 |