| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.46 | $49.64 | $98.19 | |
Aetna
| Professional | $45.46 | $45.46 | $45.46 | |
Anthem BCBS
| Professional | $26.69 | $45.45 | $53.48 | |
Cigna
| Facility | $45.46 | $45.46 | $45.46 | |
Cigna
| Professional | $45.46 | $45.46 | $45.46 | |
Medcost
| Facility | $69.23 | $69.23 | $69.23 |