| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.99 | $40.99 | $40.99 | |
Aetna
| Professional | $39.35 | $40.99 | $73.43 | |
Anthem BCBS
| Professional | $42.34 | $42.34 | $107.11 | |
Cigna
| Facility | $33.51 | $33.51 | $33.51 | |
United
| Professional | $44.33 | $61.92 | $146.29 |