| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $7.94 | |
Aetna
| Professional | $7.94 | $7.94 | $7.94 | |
Anthem BCBS
| Facility | $724.44 | $724.44 | $1,412.54 | |
Anthem BCBS
| Professional | $2.04 | $724.44 | $1,122.02 | |
Cigna
| Professional | $20.89 | $20.89 | $20.89 |