| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $39.81 | |
Aetna
| Professional | $28.84 | $39.81 | $54.95 | |
Anthem BCBS
| Professional | $34.67 | $43.65 | $60.26 | |
Cigna
| Professional | $47.86 | $47.86 | $47.86 | |
United
| Professional | $28.84 | $57.54 | $91.20 |