| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $26.92 | $33.88 | $46.77 | |
Anthem BCBS
| Professional | $13.18 | $51.29 | $120.23 | |
Cigna
| Professional | $35.48 | $35.48 | $75.86 | |
Select Health
| Professional | $109.65 | $109.65 | $109.65 | |
United
| Professional | $37.15 | $47.86 | $83.18 |