| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.92 | $88.92 | $88.92 | |
Aetna
| Professional | $88.92 | $102.14 | $125.41 | |
Anthem BCBS
| Facility | $112.35 | $125.43 | $242.08 | |
Anthem BCBS
| Professional | $112.35 | $125.43 | $168.97 | |
Cigna
| Professional | $107.43 | $107.43 | $165.57 | |
United
| Professional | $107.88 | $133.66 | $183.41 |