| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.46 | $124.00 | $180.28 | |
Aetna
| Professional | $30.00 | $33.81 | $140.00 | |
Anthem BCBS
| Professional | $40.34 | $65.00 | $85.00 | |
Cigna
| Professional | $45.00 | $80.00 | $108.55 | |
Well Sense
| Professional | $26.36 | $2,875.00 | $4,410.00 |