| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.77 | $140.16 | $195.15 | |
Aetna
| Professional | $73.77 | $73.77 | $75.55 | |
Anthem BCBS
| Professional | $28.31 | $75.55 | $75.55 | |
Cigna
| Facility | $75.55 | $75.55 | $75.55 | |
Cigna
| Professional | $75.55 | $75.55 | $75.55 | |
United
| Professional | $84.44 | $88.88 | $88.88 |