| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.72 | $88.72 | $106.46 | |
Aetna
| Professional | $68.13 | $88.72 | $88.72 | |
Anthem BCBS
| Professional | $904.03 | $904.03 | $904.03 | |
Cigna
| Professional | $35.29 | $35.29 | $35.29 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,735.00 |