| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.44 | $3.44 | $3,526.46 | |
Aetna
| Professional | $3.44 | $3.44 | $3.44 | |
Anthem BCBS
| Professional | $0.02 | $6.68 | $6.68 | |
Cigna
| Professional | $119.56 | $119.56 | $119.56 | |
Medcost
| Facility | $3.44 | $4.92 | $6.30 | |
United
| Facility | $140.44 | $155.66 | $371.99 |