| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.79 | $10.79 | $10.79 | |
Aetna
| Professional | $10.40 | $10.79 | $10.79 | |
Anthem BCBS
| Professional | $11.05 | $12.35 | $12.48 | |
Cigna
| Facility | $11.05 | $11.05 | $11.05 | |
Cigna
| Professional | $11.05 | $11.05 | $11.05 | |
United
| Professional | $13.00 | $13.00 | $13.26 |