| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $120.23 | $123.03 | |
Aetna
| Professional | $52.48 | $70.79 | $131.83 | |
Aetna
| Professional | 25 | $14.45 | $14.45 | $69.18 |
Anthem BCBS
| Professional | $1.00 | $91.20 | $107.15 | |
Cigna
| Professional | $70.79 | $95.50 | $177.83 | |
United
| Professional | $64.57 | $77.62 | $120.23 |