| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $436.52 | $2,238.72 | |
Aetna
| Professional | $16.98 | $30.20 | $41.69 | |
Anthem BCBS
| Professional | $18.62 | $23.44 | $28.18 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 |