| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $19.05 | $204.17 | |
Aetna
| Professional | $114.82 | $114.82 | $114.82 | |
Anthem BCBS
| Professional | $42.66 | $117.49 | $138.04 | |
Cigna
| Professional | $79.43 | $79.43 | $79.43 | |
United
| Professional | $75.86 | $75.86 | $75.86 |