| 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 | $168.00 | $168.00 | $324.24 | |
Anthem BCBS
| Professional | $126.00 | $168.00 | $231.84 | |
Cigna
| Professional | $196.48 | $196.48 | $221.76 |