| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.52 | $25.52 | $64.08 | |
Aetna
| Professional | $25.52 | $25.52 | $25.52 | |
Anthem BCBS
| Professional | $17.84 | $26.16 | $47.91 | |
Cigna
| Facility | $73.36 | $104.89 | $162.30 | |
Cigna
| Professional | $26.48 | $31.71 | $41.10 | |
United
| Professional | $18.68 | $30.29 | $45.15 |