| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.80 | $0.80 | $0.80 | |
Aetna
| Professional | $0.80 | $0.80 | $99.00 | |
Anthem BCBS
| Facility | $59.00 | $59.00 | $113.87 | |
Anthem BCBS
| Professional | $59.00 | $59.00 | $400.70 | |
Cigna
| Professional | $77.88 | $77.88 | $77.88 |