| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.29 | $112.29 | $112.29 | |
Aetna
| Professional | $112.29 | $232.54 | $232.54 | |
Anthem BCBS
| Professional | $13.96 | $24.82 | $37.38 | |
Cigna
| Professional | $43.50 | $43.50 | $43.50 |