| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.53 | $111.23 | $722.00 | |
Aetna
| Professional | $4.50 | $36.11 | $81.19 | |
Anthem BCBS
| Professional | $22.50 | $30.00 | $33.00 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
United
| Professional | $102.34 | $102.34 | $102.34 |