| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.72 | $100.72 | $110.87 | |
Aetna
| Professional | $101.72 | $101.72 | $117.99 | |
Anthem BCBS
| Professional | $100.72 | $101.72 | $101.72 | |
Cigna
| Facility | $101.72 | $101.72 | $101.72 | |
Cigna
| Professional | $101.72 | $101.72 | $101.72 | |
United
| Professional | $101.72 | $101.72 | $101.72 |