| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.39 | $18.39 | $18.39 | |
Aetna
| Professional | $17.30 | $18.39 | $18.39 | |
Anthem BCBS
| Professional | $14.19 | $16.70 | $18.57 | |
Cigna
| Facility | $18.39 | $18.39 | $18.39 | |
Cigna
| Professional | $18.39 | $18.39 | $18.39 | |
Medcost
| Facility | $18.39 | $19.00 | $31.08 |