| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.51 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Anthem BCBS
| Professional | $300.00 | $300.00 | $300.00 | |
Cigna
| Facility | $267.07 | $267.07 | $267.07 | |
Cigna
| Professional | $191.26 | $191.26 | $191.26 |