| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $20.89 | $20.89 | |
Aetna
| Professional | $19.95 | $19.95 | $28.84 | |
Anthem BCBS
| Facility | $23.99 | $23.99 | $46.77 | |
Anthem BCBS
| Professional | $14.45 | $23.99 | $37.15 | |
Cigna
| Facility | $64.57 | $75.86 | $95.50 | |
Cigna
| Professional | $26.92 | $31.62 | $31.62 | |
United
| Professional | $34.67 | $39.81 | $60.26 |