| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $107.15 | |
Aetna
| Professional | $66.07 | $91.20 | $117.49 | |
Anthem BCBS
| Facility | $134.90 | $316.23 | $512.86 | |
Anthem BCBS
| Professional | $15.85 | $117.49 | $295.12 | |
Cigna
| Professional | $97.72 | $154.88 | $186.21 | |
United
| Professional | $125.89 | $125.89 | $125.89 |