| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.49 | $117.49 | $117.49 | |
Aetna
| Professional | $52.48 | $61.66 | $117.49 | |
Anthem BCBS
| Facility | $3.31 | $3.31 | $6.46 | |
Anthem BCBS
| Professional | $3.31 | $4.37 | $25.70 | |
Cigna
| Professional | $4.37 | $5.01 | $31.62 |