| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $67.61 | $104.71 | |
Anthem BCBS
| Facility | $67.61 | $67.61 | $67.61 | |
Anthem BCBS
| Professional | $63.10 | $77.62 | $114.82 | |
Cigna
| Professional | $45.71 | $45.71 | $45.71 | |
Select Health
| Professional | $100.00 | $100.00 | $123.03 | |
United
| Professional | $58.88 | $81.28 | $131.83 |