| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $102.33 | $102.33 | |
Aetna
| Professional | $44.67 | $53.70 | $102.33 | |
Anthem BCBS
| Facility | $3.02 | $3.02 | $5.89 | |
Anthem BCBS
| Professional | $3.02 | $3.98 | $12.59 | |
Cigna
| Professional | $3.98 | $5.01 | $26.30 |