| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.14 | $28.18 | |
Aetna
| Professional | $10.96 | $15.14 | $18.20 | |
Anthem BCBS
| Professional | $16.22 | $23.99 | $125.89 | |
Cigna
| Professional | $12.88 | $22.91 | $38.02 | |
United
| Professional | $14.13 | $21.88 | $35.48 |