| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.20 | $91.20 | $91.20 | |
Aetna
| Professional | $57.54 | $79.43 | $91.20 | |
Anthem BCBS
| Professional | $100.00 | $141.25 | $645.65 | |
Cigna
| Professional | $67.61 | $67.61 | $67.61 | |
United
| Professional | $93.33 | $93.33 | $93.33 |