| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $97.72 | |
Aetna
| Professional | $75.86 | $93.33 | $131.83 | |
Anthem BCBS
| Professional | $100.00 | $120.23 | $177.83 | |
Cigna
| Facility | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $81.28 | $81.28 | $158.49 | |
United
| Professional | $85.11 | $107.15 | $165.96 |