| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.13 | $39.13 | $39.13 | |
Aetna
| Professional | $39.13 | $42.00 | $52.17 | |
Anthem BCBS
| Facility | $7.70 | $7.70 | $14.86 | |
Anthem BCBS
| Professional | $7.70 | $7.70 | $23.00 | |
Cigna
| Professional | $42.41 | $45.58 | $45.58 |