| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.64 | $105.64 | $129.47 | |
Aetna
| Professional | $92.34 | $105.64 | $131.18 | |
Anthem BCBS
| Professional | $100.34 | $125.43 | $170.47 | |
Cigna
| Facility | $139.07 | $139.07 | $139.07 | |
Cigna
| Professional | $107.43 | $107.43 | $562.83 | |
Molina
| Professional | $32.34 | $32.34 | $146.38 | |
United
| Professional | $108.59 | $137.79 | $204.11 |