| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.20 | $15.20 | $17.54 | |
Aetna
| Professional | $15.20 | $19.47 | $52.53 | |
Anthem BCBS
| Facility | $25.97 | $25.97 | $25.97 | |
Anthem BCBS
| Professional | $53.37 | $53.80 | $83.68 | |
Cigna
| Facility | $52.17 | $52.17 | $52.17 | |
Cigna
| Professional | $44.34 | $52.17 | $59.78 | |
United
| Professional | $26.16 | $41.86 | $69.77 |