| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.15 | $34.72 | $73.72 | |
Aetna
| Professional | $23.15 | $23.15 | $23.15 | |
Anthem BCBS
| Professional | $22.00 | $22.00 | $22.00 | |
Cigna
| Facility | $99.00 | $99.00 | $99.00 | |
Cigna
| Professional | $50.59 | $50.59 | $54.22 | |
Medica
| Facility | $23.15 | $23.15 | $93.23 |