| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $30.20 | $36.31 | $67.61 | |
Anthem BCBS
| Facility | $2.57 | $2.57 | $5.01 | |
Anthem BCBS
| Professional | $2.57 | $3.47 | $13.80 | |
Cigna
| Professional | $3.39 | $5.01 | $27.54 |