| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $133.02 | $133.02 | $133.02 | |
Aetna
| Professional | $127.22 | $127.22 | $203.20 | |
Anthem BCBS
| Professional | $30.33 | $45.47 | $73.51 | |
Cigna
| Professional | $36.70 | $36.70 | $36.70 |