| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.28 | $111.76 | $139.04 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
Anthem BCBS
| Professional | $40.01 | $117.59 | $117.59 | |
Cigna
| Professional | $55.95 | $72.00 | $90.00 | |
United
| Professional | $30.02 | $39.52 | $142.81 |