| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $37.15 | |
Aetna
| Professional | $31.04 | $37.15 | $37.15 | |
Anthem BCBS
| Facility | $21.25 | $21.25 | $41.01 | |
Anthem BCBS
| Professional | $8.82 | $21.25 | $29.32 | |
Cigna
| Professional | $19.36 | $19.36 | $28.05 |