| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.06 | $47.06 | $47.06 | |
Aetna
| Professional | $47.06 | $47.06 | $53.03 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $1.35 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 |