| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.63 | $45.43 | $80.98 | |
Aetna
| Professional | $24.63 | $24.63 | $24.63 | |
Anthem BCBS
| Facility | $22.33 | $35.15 | $72.39 | |
Anthem BCBS
| Professional | $24.15 | $24.15 | $24.63 | |
Cigna
| Facility | $24.63 | $24.63 | $24.63 | |
Cigna
| Professional | $24.63 | $24.63 | $24.63 |