| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $33.11 | |
Aetna
| Professional | $18.20 | $32.36 | $39.81 | |
Anthem BCBS
| Facility | $36.31 | $36.31 | $38.90 | |
Anthem BCBS
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $18.62 | $18.62 | $18.62 | |
Select Health
| Professional | $38.02 | $38.02 | $38.02 | |
United
| Professional | $18.62 | $39.81 | $54.95 |