| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.52 | $26.52 | $26.52 | |
Aetna
| Professional | $27.24 | $27.24 | $27.24 | |
Anthem BCBS
| Professional | $28.38 | $99,999.99 | $99,999.99 | |
Cigna
| Professional | $36.26 | $36.26 | $45.33 | |
United
| Professional | $32.76 | $32.76 | $76.81 |