| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.72 | $97.80 | $97.80 | |
Aetna
| Professional | $96.72 | $97.80 | $126.07 | |
Anthem BCBS
| Professional | $100.00 | $100.00 | $122.96 | |
Cigna
| Professional | $58.65 | $58.65 | $58.65 | |
Medcost
| Facility | $97.80 | $134.44 | $172.13 |