| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.69 | $79.69 | $98.06 | |
Aetna
| Professional | $79.69 | $79.69 | $79.69 | |
Anthem BCBS
| Professional | $79.50 | $79.50 | $79.50 | |
Cigna
| Facility | $79.50 | $79.50 | $79.50 | |
Cigna
| Professional | $79.50 | $79.50 | $79.50 | |
United
| Professional | $90.69 | $90.69 | $90.69 | |
Well Sense
| Professional | $79.69 | $87.66 | $111.57 |