| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.90 | $66.90 | $154.54 | |
Aetna
| Professional | $45.57 | $64.28 | $73.64 | |
Anthem BCBS
| Professional | $57.90 | $57.90 | $225.00 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $49.22 | $68.44 | |
United
| Professional | $10.54 | $16.22 | $16.22 |