| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $117.49 | $117.49 | |
Aetna
| Professional | $117.49 | $144.54 | $181.97 | |
Anthem BCBS
| Facility | $158.49 | $173.78 | $338.84 | |
Anthem BCBS
| Professional | $173.78 | $173.78 | $295.12 | |
Cigna
| Facility | $147.91 | $147.91 | $147.91 | |
Cigna
| Professional | $141.25 | $141.25 | $194.98 | |
United
| Professional | $151.36 | $186.21 | $269.15 |