| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Anthem BCBS
| Facility | $1.00 | $1.00 | $1.93 | |
Anthem BCBS
| Professional | $1.00 | $1.00 | $10.00 | |
Cigna
| Professional | $1.32 | $1.33 | $1.33 |