| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.00 | $115.00 | $115.00 | |
Aetna
| Professional | $41.73 | $109.25 | $117.30 | |
Anthem BCBS
| Professional | $22.38 | $22.38 | $89.64 | |
Cigna
| Facility | $51.82 | $51.82 | $51.82 | |
Cigna
| Professional | $38.22 | $38.22 | $38.22 | |
United
| Professional | $42.50 | $52.50 | $85.80 |