| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.79 | $20.79 | $20.79 | |
Aetna
| Professional | $16.00 | $19.55 | $20.79 | |
Anthem BCBS
| Professional | $23.85 | $23.85 | $23.85 | |
Cigna
| Facility | $28.58 | $28.58 | $28.58 | |
Cigna
| Professional | $20.86 | $20.86 | $28.58 | |
United
| Professional | $14.75 | $20.48 | $32.11 |