| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.20 | $25.96 | $187.62 | |
Aetna
| Professional | $0.20 | $0.20 | $0.20 | |
Anthem BCBS
| Professional | $0.11 | $0.20 | $0.24 | |
Cigna
| Facility | $0.20 | $0.20 | $0.20 | |
Cigna
| Professional | $0.20 | $0.20 | $0.20 | |
Medcost
| Facility | $0.30 | $0.30 | $0.30 |