| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.99 | $13.58 | $13.58 | |
Anthem BCBS
| Facility | $15.92 | $17.98 | $19.98 | |
Anthem BCBS
| Professional | $11.15 | $13.58 | $13.58 | |
Cigna
| Facility | $13.58 | $13.58 | $13.58 | |
Cigna
| Professional | $13.58 | $13.58 | $13.58 | |
United
| Professional | $1.50 | $2.25 | $4.54 |