| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.90 | $165.20 | $185.04 | |
Aetna
| Professional | $161.90 | $190.56 | $688.44 | |
Anthem BCBS
| Professional | $63.00 | $132.54 | $189.22 | |
Cigna
| Professional | $141.60 | $141.60 | $141.60 | |
United
| Professional | $128.12 | $172.57 | $257.14 |