| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $16.22 | $20.89 | |
Aetna
| Professional | $1.00 | $13.18 | $23.99 | |
Anthem BCBS
| Professional | $1.00 | $1.35 | $199.53 | |
Cigna
| Facility | $1.12 | $1.12 | $1.12 | |
Cigna
| Professional | $1.12 | $1.12 | $1.12 | |
United
| Professional | $218.78 | $234.42 | $239.88 |