| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.20 | $148.33 | $711.27 | |
Aetna
| Professional | $55.20 | $55.20 | $55.20 | |
Anthem BCBS
| Facility | $60.31 | $88.91 | $174.31 | |
Anthem BCBS
| Professional | $53.08 | $53.08 | $53.08 | |
Cigna
| Facility | $45.90 | $45.90 | $45.90 | |
Cigna
| Professional | $45.90 | $45.90 | $45.90 | |
United
| Professional | $47.77 | $53.08 | $54.14 |