| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.95 | $24.95 | $71.23 | |
Aetna
| Professional | $24.95 | $24.95 | $24.95 | |
Anthem BCBS
| Facility | $0.02 | $0.03 | $80.59 | |
Anthem BCBS
| Professional | $27.00 | $27.00 | $27.00 | |
Cigna
| Facility | $27.68 | $27.68 | $27.68 | |
Cigna
| Professional | $27.68 | $27.68 | $27.68 | |
United
| Professional | $26.42 | $29.35 | $32.29 |