| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.94 | $37.89 | $52.76 | |
Aetna
| Professional | $19.94 | $19.94 | $20.43 | |
Anthem BCBS
| Facility | $18.32 | $21.02 | $63.86 | |
Anthem BCBS
| Professional | $15.28 | $15.28 | $20.02 | |
Cigna
| Facility | $18.82 | $20.43 | $20.43 | |
Cigna
| Professional | $20.43 | $20.43 | $20.43 |