| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $204.17 | $204.17 | |
Aetna
| Professional | $169.82 | $169.82 | $389.05 | |
Anthem BCBS
| Professional | $331.13 | $389.05 | $645.65 | |
Cigna
| Professional | $100.00 | $446.68 | $537.03 | |
United
| Professional | $173.78 | $173.78 | $173.78 |