| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.98 | $19.98 | $19.98 | |
Aetna
| Professional | $15.32 | $19.98 | $19.98 | |
Anthem BCBS
| Facility | $286.22 | $392.59 | $680.02 | |
Anthem BCBS
| Professional | $35.35 | $182.12 | $442.35 | |
Cigna
| Professional | $16.32 | $24.91 | $29.60 | |
United
| Professional | $14.87 | $23.61 | $44.71 |