| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.85 | $200.85 | $200.85 | |
Aetna
| Professional | $65.37 | $78.63 | $80.53 | |
Anthem BCBS
| Professional | $82.11 | $90.00 | $93.76 | |
Cigna
| Facility | $80.53 | $83.69 | $83.69 | |
Cigna
| Professional | $80.53 | $83.69 | $83.69 | |
United
| Professional | $37.90 | $94.74 | $94.74 |