| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $63.10 | |
Aetna
| Professional | $56.23 | $63.10 | $83.18 | |
Anthem BCBS
| Professional | $67.61 | $77.62 | $117.49 | |
Cigna
| Facility | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $66.07 | $346.74 | $346.74 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $64.57 | $87.10 | $128.82 |