| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.31 | $22.31 | $34.90 | |
Aetna
| Professional | $22.31 | $22.31 | $22.31 | |
Anthem BCBS
| Professional | $18.96 | $23.54 | $365.96 | |
Cigna
| Facility | $174.33 | $174.33 | $174.33 | |
Cigna
| Professional | $174.33 | $174.33 | $174.33 | |
United
| Professional | $94.70 | $152.80 | $271.86 |