| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $141.25 | |
Aetna
| Professional | $141.25 | $141.25 | $141.25 | |
Anthem BCBS
| Professional | $269.15 | $269.15 | $275.42 | |
Cigna
| Facility | $169.82 | $223.87 | $223.87 | |
Cigna
| Professional | $162.18 | $162.18 | $223.87 | |
United
| Facility | $138.04 | $169.82 | $199.53 | |
United
| Professional | $114.82 | $186.21 | $281.84 |