| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $5.00 | |
Aetna
| Professional | $5.00 | $5.00 | $5.00 | |
Anthem BCBS
| Professional | $3.83 | $3.83 | $4.50 | |
Cigna
| Facility | $4.12 | $4.12 | $4.12 | |
Cigna
| Professional | $3.50 | $3.50 | $4.12 | |
United
| Professional | $2.20 | $2.93 | $5.43 |