| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.00 | $84.95 | $125.20 | |
Anthem BCBS
| Professional | $90.00 | $90.00 | $90.00 | |
Cigna
| Professional | $201.75 | $201.75 | $201.75 | |
Well Sense
| Professional | $243.95 | $2,875.00 | $4,410.00 |