| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.26 | $1.26 | $1.26 | |
Aetna
| Professional | $1.26 | $1.26 | $1.26 | |
Anthem BCBS
| Facility | $285.00 | $285.00 | $550.04 | |
Anthem BCBS
| Professional | $154.00 | $285.00 | $393.30 | |
Cigna
| Professional | $309.58 | $309.58 | $376.20 |