| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $34.67 | $34.67 | |
Aetna
| Professional | $25.70 | $33.88 | $34.67 | |
Anthem BCBS
| Facility | $22.91 | $22.91 | $43.65 | |
Anthem BCBS
| Professional | $22.91 | $22.91 | $40.74 | |
Cigna
| Facility | $4.68 | $165.96 | $165.96 | |
Cigna
| Professional | $2.04 | $2.04 | $2.04 |