| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.59 | $16.59 | $16.59 | |
Aetna
| Professional | $16.59 | $16.59 | $16.59 | |
Anthem BCBS
| Professional | $13.00 | $15.10 | $17.76 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
United
| Professional | $34.08 | $36.59 | $36.59 |