| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.99 | $116.99 | $116.99 | |
Aetna
| Professional | $91.78 | $116.99 | $128.60 | |
Anthem BCBS
| Facility | $112.35 | $125.02 | $241.29 | |
Anthem BCBS
| Professional | $100.01 | $125.02 | $168.42 | |
Cigna
| Professional | $107.43 | $107.43 | $165.03 | |
United
| Professional | $107.33 | $131.91 | $187.19 |