| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.14 | $21.14 | $111.69 | |
Aetna
| Professional | $21.14 | $28.19 | $89.26 | |
Anthem BCBS
| Professional | $88.00 | $110.00 | $148.50 | |
Cigna
| Professional | $48.34 | $92.74 | $92.74 | |
United
| Professional | $54.00 | $79.00 | $85.00 |