| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.23 | $33.85 | $106.16 | |
Aetna
| Professional | $22.08 | $22.08 | $22.08 | |
Anthem BCBS
| Facility | $21.86 | $32.27 | $73.36 | |
Anthem BCBS
| Professional | $21.23 | $21.23 | $21.23 | |
Cigna
| Facility | $28.21 | $28.21 | $28.21 | |
Cigna
| Professional | $28.21 | $28.21 | $28.21 | |
United
| Professional | $19.11 | $21.23 | $30.53 |