| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.25 | $27.78 | $27.78 | |
Aetna
| Professional | $27.78 | $27.78 | $65.91 | |
Anthem BCBS
| Professional | $1.93 | $1.93 | $35.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $36.96 | $36.96 | $36.96 |