| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.12 | $51.12 | $51.12 | |
Aetna
| Professional | $49.81 | $51.12 | $51.12 | |
Anthem BCBS
| Facility | $167.90 | $167.90 | $167.90 | |
Cigna
| Facility | $90.19 | $90.19 | $90.19 | |
United
| Facility | $55.50 | $55.50 | $55.50 |