| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $102.33 | $102.33 | |
Aetna
| Professional | $57.54 | $83.18 | $125.89 | |
Anthem BCBS
| Professional | $63.10 | $89.13 | $131.83 | |
Cigna
| Professional | $245.47 | $245.47 | $245.47 | |
United
| Professional | $50.12 | $60.26 | $323.59 |