| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $93.33 | $93.33 | |
Aetna
| Professional | $52.48 | $74.13 | $93.33 | |
Anthem BCBS
| Professional | $72.44 | $97.72 | $169.82 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
United
| Professional | $72.44 | $95.50 | $141.25 |