| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.97 | $72.97 | $87.91 | |
Aetna
| Professional | $71.20 | $72.97 | $74.72 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $212.14 | $212.14 | $212.14 | |
Cigna
| Facility | $136.94 | $136.94 | $136.94 | |
Cigna
| Professional | $136.94 | $136.94 | $136.94 | |
United
| Professional | $83.51 | $83.51 | $83.51 |