| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Anthem BCBS
| Facility | $26.86 | $26.86 | $51.84 | |
Anthem BCBS
| Professional | $22.00 | $26.86 | $36.18 | |
Cigna
| Professional | $7.65 | $7.65 | $35.46 |