| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.95 | $82.72 | $177.37 | |
Aetna
| Professional | $53.95 | $53.95 | $53.95 | |
Anthem BCBS
| Facility | $60.10 | $88.14 | $163.44 | |
Anthem BCBS
| Professional | $35.89 | $47.86 | $52.89 | |
Cigna
| Facility | $53.95 | $53.95 | $53.95 | |
Cigna
| Professional | $53.95 | $53.95 | $53.95 | |
United
| Professional | $47.60 | $52.89 | $58.71 |