| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $58.88 | $67.61 | $87.10 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Anthem BCBS
| Professional | $1.35 | $1.35 | $1.35 | |
Cigna
| Facility | $30.20 | $54.95 | $54.95 | |
Cigna
| Professional | $35.48 | $35.48 | $35.48 |