| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $18.20 | |
Aetna
| Professional | $16.98 | $16.98 | $18.20 | |
Anthem BCBS
| Professional | $14.79 | $17.38 | $20.42 | |
Cigna
| Facility | $18.20 | $18.20 | $18.20 | |
Cigna
| Professional | $18.20 | $18.20 | $18.20 | |
Medcost
| Facility | $17.38 | $19.05 | $30.90 |