| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.84 | $77.59 | $108.05 | |
Aetna
| Professional | $40.84 | $41.83 | $41.83 | |
Anthem BCBS
| Professional | $25.72 | $25.72 | $45.61 | |
Cigna
| Facility | $21.86 | $25.72 | $25.72 | |
Cigna
| Professional | $21.86 | $25.72 | $26.63 | |
United
| Professional | $46.44 | $71.44 | $71.44 |