| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.94 | $160.94 | $193.13 | |
Aetna
| Professional | $160.94 | $184.14 | $323.70 | |
Anthem BCBS
| Professional | $200.00 | $280.10 | $280.10 | |
Cigna
| Professional | $38.47 | $66.81 | $66.81 | |
United
| Professional | $16.45 | $24.67 | $28.78 |