| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.73 | $27.73 | $27.73 | |
Aetna
| Professional | $10.95 | $27.73 | $35.92 | |
Anthem BCBS
| Facility | $84.97 | $84.97 | $84.97 | |
Cigna
| Facility | $45.64 | $45.64 | $45.64 | |
Cigna
| Professional | $36.61 | $36.61 | $36.61 |