| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.58 | $31.58 | $36.44 | |
Aetna
| Professional | $31.58 | $36.44 | $81.28 | |
Anthem BCBS
| Facility | $53.96 | $53.96 | $53.96 | |
Anthem BCBS
| Professional | $110.53 | $111.80 | $173.82 | |
Cigna
| Facility | $128.79 | $128.79 | $128.79 | |
Cigna
| Professional | $94.02 | $124.17 | $137.30 | |
United
| Professional | $57.99 | $86.98 | $144.97 |