| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.00 | $50.00 | $50.00 | |
Aetna
| Professional | $50.00 | $50.00 | $50.00 | |
Anthem BCBS
| Facility | $170.00 | $170.00 | $328.10 | |
Anthem BCBS
| Professional | $86.90 | $170.00 | $234.60 | |
Cigna
| Professional | $224.40 | $224.40 | $224.40 | |
United
| Professional | $35.00 | $40.00 | $60.00 |