| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $89.13 | $107.15 | |
Aetna
| Professional | $58.88 | $87.10 | $107.15 | |
Anthem BCBS
| Professional | $933.25 | $933.25 | $3,235.94 | |
Cigna
| Professional | $35.48 | $35.48 | $35.48 |