| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.61 | $8.61 | $8.61 | |
Aetna
| Professional | $8.61 | $10.51 | $11.49 | |
Anthem BCBS
| Facility | $14.00 | $14.00 | $27.02 | |
Anthem BCBS
| Professional | $14.00 | $15.00 | $19.88 | |
Cigna
| Professional | $9.49 | $10.72 | $11.40 |