| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $239.88 | $288.40 | |
Aetna
| Professional | $112.20 | $117.49 | $141.25 | |
Anthem BCBS
| Facility | $125.89 | $125.89 | $380.19 | |
Anthem BCBS
| Professional | $120.23 | $120.23 | $151.36 | |
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $120.23 | $120.23 | $120.23 | |
United
| Professional | $141.25 | $141.25 | $147.91 |