| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $34.67 | |
Aetna
| Professional | $34.67 | $34.67 | $34.67 | |
Anthem BCBS
| Professional | $11.75 | $11.75 | $30.20 | |
Cigna
| Professional | $8.71 | $8.71 | $66.07 | |
Select Health
| Professional | $1.82 | $1.82 | $1.82 |