| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.92 | $55.92 | $64.53 | |
Aetna
| Professional | $55.92 | $64.53 | $143.93 | |
Anthem BCBS
| Facility | $95.54 | $95.54 | $95.54 | |
Anthem BCBS
| Professional | $193.20 | $193.20 | $307.80 | |
Cigna
| Facility | $211.82 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $211.82 | $219.89 | |
United
| Professional | $71.66 | $154.02 | $241.63 |