| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $21.88 | |
Aetna
| Professional | $12.88 | $28.18 | $33.88 | |
Anthem BCBS
| Facility | $28.18 | $36.31 | $43.65 | |
Anthem BCBS
| Professional | $11.75 | $25.70 | $35.48 | |
Cigna
| Professional | $16.22 | $16.22 | $16.22 | |
United
| Professional | $13.80 | $28.84 | $47.86 |