| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $114.82 | $204.17 | |
Aetna
| Professional | $50.12 | $58.88 | $70.79 | |
Anthem BCBS
| Professional | $48.98 | $72.44 | $223.87 | |
Cigna
| Facility | $51.29 | $51.29 | $51.29 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
United
| Facility | $0.15 | $0.15 | $0.15 | |
United
| Professional | $5.01 | $12.59 | $13.80 |