| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.89 | $35.89 | $35.89 | |
Aetna
| Professional | $35.89 | $42.51 | $50.58 | |
Anthem BCBS
| Facility | $46.12 | $53.25 | $102.77 | |
Anthem BCBS
| Professional | $46.12 | $53.25 | $71.73 | |
Cigna
| Professional | $44.04 | $44.04 | $70.29 | |
United
| Professional | $45.76 | $57.06 | $77.09 |