| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.41 | $117.41 | $117.41 | |
Aetna
| Professional | $117.41 | $139.81 | $167.75 | |
Anthem BCBS
| Facility | $147.63 | $175.63 | $338.97 | |
Anthem BCBS
| Professional | $147.63 | $175.63 | $236.60 | |
Cigna
| Professional | $141.06 | $141.06 | $231.83 | |
United
| Professional | $150.90 | $189.39 | $257.11 |