| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.26 | $52.26 | $64.31 | |
Aetna
| Professional | $52.26 | $57.02 | $63.27 | |
Anthem BCBS
| Professional | $57.31 | $57.31 | $57.31 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $49.22 | $49.22 | |
United
| Professional | $16.22 | $16.22 | $16.22 |