| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $79.43 | $100.00 | |
Anthem BCBS
| Professional | $60.26 | $89.13 | $141.25 | |
Cigna
| Professional | $89.13 | $89.13 | $104.71 | |
United
| Professional | $57.54 | $89.13 | $144.54 |