| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.83 | $53.83 | $53.83 | |
Aetna
| Professional | $53.83 | $62.37 | $75.55 | |
Anthem BCBS
| Facility | $67.95 | $74.16 | $143.13 | |
Anthem BCBS
| Professional | $67.95 | $74.16 | $99.90 | |
Cigna
| Professional | $66.06 | $66.06 | $97.89 | |
United
| Professional | $63.24 | $79.38 | $108.25 |