| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.14 | $64.14 | $69.27 |
Aetna
| Professional | $107.93 | $138.47 | $200.48 | |
Anthem BCBS
| Professional | $85.77 | $131.81 | $213.14 | |
Cigna
| Professional | $95.04 | $159.51 | $245.93 | |
United
| Professional | $94.62 | $140.00 | $252.00 |