| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.03 | $30.03 | $4,655.14 | |
Aetna
| Professional | $17.98 | $30.03 | $34.49 | |
Anthem BCBS
| Professional | $17.04 | $19.32 | $25.56 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
United
| Professional | $50.00 | $50.00 | $50.00 |