| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.23 | $196.00 | $198.00 | |
Aetna
| Professional | $12.46 | $30.54 | $72.98 | |
Anthem BCBS
| Professional | $13.28 | $17.71 | $24.53 | |
Cigna
| Professional | $150.94 | $150.94 | $150.94 |