| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.08 | $32.08 | $32.08 | |
Aetna
| Professional | $32.08 | $37.25 | $43.86 | |
Anthem BCBS
| Facility | $79.00 | $79.00 | $152.47 | |
Anthem BCBS
| Professional | $79.00 | $79.00 | $112.18 | |
Cigna
| Professional | $60.45 | $60.45 | $60.45 |