| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $95.50 | $95.50 | |
Aetna
| Professional | $58.88 | $67.61 | $91.20 | |
Anthem BCBS
| Professional | $63.10 | $89.13 | $138.04 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
United
| Professional | $70.79 | $95.50 | $138.04 |