| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.06 | $99.06 | $99.06 | |
Aetna
| Professional | $77.84 | $99.21 | $112.08 | |
Anthem BCBS
| Facility | $95.31 | $104.13 | $200.97 | |
Anthem BCBS
| Professional | $83.30 | $104.13 | $140.28 | |
Cigna
| Professional | $92.55 | $92.55 | $137.44 | |
United
| Professional | $89.28 | $110.63 | $158.90 |