| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.13 | $69.59 | $76.45 | |
Aetna
| Professional | $43.64 | $62.13 | $62.13 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.04 | |
Anthem BCBS
| Professional | $62.13 | $62.13 | $62.13 | |
Cigna
| Professional | $76.58 | $76.58 | $96.96 | |
United
| Professional | $64.56 | $73.09 | $77.48 | |
Well Sense
| Professional | $62.13 | $68.34 | $86.98 |