| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.97 | $35.22 | $75.51 | |
Aetna
| Professional | $22.97 | $22.97 | $22.97 | |
Anthem BCBS
| Facility | $25.59 | $37.53 | $69.59 | |
Anthem BCBS
| Professional | $10.95 | $14.60 | $22.52 | |
Cigna
| Facility | $22.97 | $22.97 | $22.97 | |
Cigna
| Professional | $22.97 | $22.97 | $22.97 | |
United
| Professional | $20.27 | $22.52 | $25.00 |