| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.16 | $22.16 | $78.50 | |
Anthem BCBS
| Professional | $22.00 | $22.00 | $22.00 | |
Cigna
| Professional | $228.00 | $228.00 | $228.00 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |