| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $107.15 | |
Aetna
| Professional | $100.00 | $109.65 | $141.25 | |
Anthem BCBS
| Facility | $134.90 | $134.90 | $257.04 | |
Anthem BCBS
| Professional | $87.10 | $134.90 | $208.93 | |
Cigna
| Professional | $102.33 | $138.04 | $239.88 | |
United
| Professional | $97.72 | $120.23 | $199.53 |