| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.98 | $91.98 | $91.98 | |
Aetna
| Professional | $4.20 | $80.61 | $91.98 | |
Anthem BCBS
| Professional | $104.82 | $139.76 | $650.00 | |
Cigna
| Professional | $67.45 | $67.45 | $67.45 | |
United
| Professional | $93.09 | $93.09 | $93.09 |