| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.71 | $84.71 | $97.74 | |
Aetna
| Professional | $84.71 | $97.74 | $191.84 | |
Anthem BCBS
| Facility | $129.57 | $129.57 | $129.57 | |
Anthem BCBS
| Professional | $266.83 | $266.83 | $269.00 | |
Cigna
| Facility | $312.30 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $293.08 | $321.67 | |
United
| Professional | $139.99 | $209.99 | $349.98 |