| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $41.69 | $41.69 | |
Aetna
| Professional | $1.00 | $5.01 | $6.03 | |
Anthem BCBS
| Facility | $21.88 | $21.88 | $42.66 | |
Anthem BCBS
| Professional | $21.88 | $25.70 | $38.90 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 |