| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.34 | $11.34 | $17.73 | |
Aetna
| Professional | $11.34 | $11.34 | $11.34 | |
Anthem BCBS
| Facility | $597.00 | $597.00 | $796.00 | |
Anthem BCBS
| Professional | $27.27 | $48.05 | $51.00 | |
Cigna
| Facility | $46.85 | $69.69 | $84.07 | |
United
| Professional | $26.03 | $40.47 | $81.26 |