| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.49 | $34.49 | $34.49 | |
Aetna
| Professional | $34.49 | $41.76 | $57.56 | |
Anthem BCBS
| Facility | $72.00 | $72.00 | $138.96 | |
Anthem BCBS
| Professional | $72.00 | $77.59 | $102.24 | |
Cigna
| Professional | $43.60 | $54.34 | $57.07 |