| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.22 | $57.22 | $57.22 | |
Aetna
| Professional | $44.03 | $53.82 | $57.22 | |
Anthem BCBS
| Professional | $70.91 | $70.91 | $70.91 | |
Cigna
| Facility | $47.13 | $47.13 | $47.13 | |
Cigna
| Professional | $34.40 | $34.40 | $47.13 | |
United
| Professional | $40.56 | $56.39 | $88.41 |