| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.29 | $65.29 | $65.29 | |
Aetna
| Professional | $50.24 | $61.41 | $65.29 | |
Anthem BCBS
| Professional | $93.66 | $93.66 | $93.66 | |
Cigna
| Facility | $75.05 | $75.05 | $75.05 | |
Cigna
| Professional | $54.79 | $54.79 | $54.79 | |
United
| Professional | $46.28 | $64.34 | $100.88 |