| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.32 | $17.32 | $44.01 | |
Aetna
| Professional | $17.32 | $22.39 | $29.64 | |
Anthem BCBS
| Professional | $87.20 | $109.00 | $147.60 | |
Cigna
| Professional | $24.32 | $35.72 | $35.72 | |
United
| Professional | $54.00 | $61.00 | $73.00 |