| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $30.20 | |
Aetna
| Professional | $30.20 | $30.20 | $30.20 | |
Anthem BCBS
| Facility | $0.12 | $0.15 | $0.15 | |
Anthem BCBS
| Professional | $0.12 | $0.12 | $0.20 | |
Cigna
| Professional | $0.16 | $0.38 | $0.47 | |
United
| Facility | $0.05 | $0.05 | $0.12 | |
United
| Professional | $0.05 | $0.12 | $0.16 |