| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.00 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $144.65 | |
Anthem BCBS
| Professional | $6.68 | $6.68 | $6.68 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $130.77 | $130.77 | $130.77 |