| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $128.82 | $128.82 | |
Aetna
| Professional | $81.28 | $91.20 | $123.03 | |
Anthem BCBS
| Professional | $87.10 | $123.03 | $199.53 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
United
| Professional | $100.00 | $131.83 | $194.98 |