| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.90 | $82.90 | $82.90 | |
Aetna
| Professional | $63.79 | $77.97 | $82.90 | |
Anthem BCBS
| Professional | $162.57 | $504.43 | $504.43 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $101.53 | |
United
| Professional | $55.89 | $81.70 | $128.09 |