| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.44 | $171.44 | $171.44 | |
Aetna
| Professional | $138.75 | $171.44 | $177.80 | |
Anthem BCBS
| Facility | $32.50 | $32.50 | $62.73 | |
Anthem BCBS
| Professional | $13.75 | $32.50 | $46.15 | |
Cigna
| Professional | $42.90 | $42.90 | $42.90 | |
United
| Professional | $117.50 | $162.02 | $238.30 |