| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.83 | $20.83 | $20.83 | |
Aetna
| Professional | $20.83 | $20.83 | $29.28 | |
Anthem BCBS
| Facility | $24.00 | $24.00 | $46.32 | |
Anthem BCBS
| Professional | $14.50 | $24.00 | $32.33 | |
Cigna
| Facility | $65.00 | $72.00 | $95.00 | |
Cigna
| Professional | $26.93 | $31.68 | $31.68 |