| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.76 | $89.20 | $130.60 | |
Aetna
| Professional | $50.84 | $51.65 | $71.76 | |
Anthem BCBS
| Professional | $43.55 | $58.07 | $202.50 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $49.22 | $49.22 | |
United
| Professional | $6.49 | $16.22 | $18.00 |