| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.02 | $2.02 | $2.02 | |
Aetna
| Professional | $2.02 | $2.02 | $2.02 | |
Anthem BCBS
| Facility | $98.00 | $98.00 | $189.14 | |
Anthem BCBS
| Professional | $50.60 | $98.00 | $135.24 | |
Cigna
| Professional | $93.87 | $93.87 | $129.36 |