| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.30 | $101.30 | $412.92 | |
Aetna
| Professional | $101.30 | $101.30 | $126.07 | |
Anthem BCBS
| Professional | $65.70 | $79.09 | $102.36 | |
Cigna
| Professional | $58.65 | $58.65 | $58.65 | |
United
| Professional | $50.00 | $50.00 | $50.00 |