| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.99 | $11.36 | $14.94 | |
Anthem BCBS
| Professional | $14.27 | $118.10 | $212.58 | |
Cigna
| Facility | $15.66 | $15.66 | $15.66 | |
Cigna
| Professional | $10.79 | $64.78 | $486.07 | |
United
| Professional | $10.54 | $13.75 | $87.79 |