| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $28.84 | |
Aetna
| Professional | $25.70 | $25.70 | $28.84 | |
Anthem BCBS
| Facility | $1.00 | $1.29 | $1.29 | |
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.91 | |
Cigna
| Professional | $1.32 | $1.32 | $1.32 | |
United
| Facility | $0.03 | $0.11 | $0.28 | |
United
| Professional | $0.15 | $0.38 | $0.48 |