| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.86 | $22.86 | $973.20 | |
Aetna
| Professional | $9.60 | $9.60 | $60.89 | |
Anthem BCBS
| Professional | $3.75 | $5.00 | $5.76 | |
Cigna
| Professional | $195.53 | $195.53 | $195.53 | |
United
| Professional | $31.58 | $31.58 | $31.58 |