| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.82 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $14.82 | |
Anthem BCBS
| Professional | $0.02 | $6.68 | $6.68 | |
Cigna
| Professional | $130.77 | $130.77 | $130.77 | |
Medcost
| Facility | $14.82 | $21.34 | $27.12 |