| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.12 | $0.12 | $2,912.46 | |
Aetna
| Professional | $0.12 | $0.12 | $25.90 | |
Anthem BCBS
| Professional | $34.00 | $40.00 | $52.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $16.85 | $16.85 | $16.85 |