| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.87 | $31.87 | $31.87 | |
Aetna
| Professional | $31.87 | $36.90 | $44.89 | |
Anthem BCBS
| Facility | $42.68 | $42.68 | $42.68 | |
Anthem BCBS
| Professional | $30.75 | $42.56 | $62.56 | |
Cigna
| Professional | $42.56 | $42.56 | $43.02 | |
United
| Professional | $36.28 | $44.39 | $60.98 |