| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $53.70 | $53.70 | |
Aetna
| Professional | $52.48 | $63.10 | $79.43 | |
Anthem BCBS
| Facility | $72.44 | $77.62 | $147.91 | |
Anthem BCBS
| Professional | $77.62 | $77.62 | $128.82 | |
Cigna
| Facility | $67.61 | $67.61 | $67.61 | |
Cigna
| Professional | $66.07 | $66.07 | $87.10 | |
United
| Professional | $66.07 | $81.28 | $114.82 |