| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.39 | $84.34 | $117.43 | |
Aetna
| Professional | $44.39 | $44.39 | $45.46 | |
Anthem BCBS
| Facility | $40.78 | $46.80 | $142.18 | |
Anthem BCBS
| Professional | $31.88 | $31.88 | $44.57 | |
Cigna
| Facility | $45.46 | $45.46 | $45.46 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 |