| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $5.01 | |
Aetna
| Professional | $5.01 | $5.01 | $5.01 | |
Anthem BCBS
| Professional | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
United
| Professional | $34.67 | $39.81 | $60.26 |