| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.27 | $59.27 | $59.27 | |
Aetna
| Professional | $59.27 | $68.13 | $88.72 | |
Anthem BCBS
| Professional | $734.11 | $878.04 | $1,024.66 | |
Cigna
| Professional | $35.29 | $35.29 | $35.29 | |
United
| Professional | $50.00 | $50.00 | $50.00 |