| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.37 | $94.37 | $94.37 | |
Aetna
| Professional | $11.00 | $22.15 | $22.15 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $1.35 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 |