| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.50 | $53.50 | $53.50 | |
Aetna
| Professional | $53.50 | $61.76 | $75.62 | |
Anthem BCBS
| Facility | $68.76 | $76.81 | $148.26 | |
Anthem BCBS
| Professional | $68.69 | $76.81 | $103.49 | |
Cigna
| Professional | $65.77 | $65.77 | $101.40 | |
United
| Professional | $66.06 | $82.83 | $114.67 |