| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.54 | $516.33 | $2,663.96 | |
Aetna
| Professional | $12.46 | $30.54 | $42.00 | |
Anthem BCBS
| Professional | $15.08 | $17.75 | $17.75 | |
Cigna
| Professional | $150.94 | $150.94 | $150.94 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,410.00 |