| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $57.54 | |
Aetna
| Professional | $16.98 | $30.20 | $57.54 | |
Anthem BCBS
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $19.50 | $19.50 | $19.50 | |
United
| Facility | $93.33 | $93.33 | $93.33 |