| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.34 | $123.34 | $148.01 | |
Aetna
| Professional | $123.34 | $123.34 | $123.34 | |
Anthem BCBS
| Professional | $67.39 | $67.39 | $67.39 | |
Cigna
| Professional | $73.14 | $73.14 | $73.14 | |
United
| Professional | $24.91 | $43.31 | $94.45 | |
Well Sense
| Professional | $60.40 | $81.54 | $3,000.00 |