| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.78 | $27.78 | $27.78 | |
Aetna
| Professional | $16.29 | $27.78 | $65.91 | |
Anthem BCBS
| Facility | $89.64 | $89.64 | $89.64 | |
Cigna
| Facility | $48.15 | $48.15 | $48.15 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 |