| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.86 | $42.86 | $42.86 | |
Aetna
| Professional | $41.21 | $44.53 | $50.47 | |
Anthem BCBS
| Facility | $93.66 | $93.66 | $180.76 | |
Anthem BCBS
| Professional | $74.92 | $93.66 | $123.63 | |
Cigna
| Facility | $75.05 | $75.05 | $75.05 | |
Cigna
| Professional | $54.79 | $54.79 | $123.63 | |
United
| Professional | $38.54 | $54.15 | $90.82 |