| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
Aetna
| Professional | $0.04 | $0.04 | $0.04 | |
Ambetter
| Professional | $86.57 | $86.57 | $86.57 | |
Anthem BCBS
| Professional | $4.75 | $10.99 | $30.63 | |
Cigna
| Professional | $26.02 | $26.28 | $32.52 |