| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $141.24 | $635.58 | |
Aetna
| Professional | $141.24 | $141.24 | $141.24 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $149.71 | |
Anthem BCBS
| Professional | $127.25 | $149.71 | $202.10 | |
Cigna
| Professional | $0.03 | $0.03 | $149.71 | |
United
| Professional | $136.80 | $136.80 | $171.07 |