| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.15 | $23.15 | $23.15 | |
Aetna
| Professional | $2.98 | $23.15 | $23.84 | |
Anthem BCBS
| Facility | $22.00 | $22.00 | $42.46 | |
Anthem BCBS
| Professional | $18.70 | $22.00 | $29.63 | |
Cigna
| Professional | $29.04 | $50.59 | $50.59 |