| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.17 | $37.17 | $37.17 | |
Aetna
| Professional | $28.60 | $34.96 | $37.17 | |
Anthem BCBS
| Professional | $49.79 | $49.79 | $49.79 | |
Cigna
| Facility | $49.68 | $49.68 | $49.68 | |
Cigna
| Professional | $36.27 | $36.27 | $49.68 | |
United
| Professional | $26.37 | $36.63 | $58.12 |