| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $136.00 | $345.00 | |
Anthem BCBS
| Professional | $22.00 | $22.00 | $22.00 | |
Cigna
| Professional | $18.77 | $18.77 | $18.77 | |
Well Sense
| Professional | $71.64 | $85.97 | $126.37 |