| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.13 | $68.13 | $68.13 | |
Aetna
| Professional | $68.13 | $68.13 | $88.72 | |
Anthem BCBS
| Professional | $2,500.00 | $2,500.00 | $3,250.00 | |
Cigna
| Facility | $69.23 | $69.23 | $69.23 | |
Cigna
| Professional | $35.29 | $35.29 | $35.29 |