| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.62 | $5.62 | |
Aetna
| Professional | $5.01 | $5.01 | $100.00 | |
Anthem BCBS
| Facility | $114.82 | $288.40 | $512.86 | |
Anthem BCBS
| Professional | $39.81 | $41.69 | $66.07 | |
Cigna
| Professional | $52.48 | $97.72 | $186.21 | |
United
| Professional | $125.89 | $125.89 | $125.89 |