| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $16.26 | |
Anthem BCBS
| Facility | $7.45 | $7.45 | $14.38 | |
Anthem BCBS
| Professional | $7.45 | $7.45 | $10.28 | |
Cigna
| Professional | $4.38 | $4.38 | $9.83 | |
United
| Professional | $3.75 | $5.15 | $8.90 |