| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.37 | $14.37 | $14.37 | |
Aetna
| Professional | $14.37 | $14.37 | $14.37 | |
Anthem BCBS
| Professional | $6.36 | $6.36 | $15.79 | |
Cigna
| Facility | $14.21 | $14.21 | $14.21 | |
Cigna
| Professional | $12.08 | $12.08 | $14.21 | |
United
| Professional | $7.26 | $11.50 | $18.14 |