| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.06 | $80.06 | $80.06 | |
Aetna
| Professional | $80.06 | $80.06 | $90.65 | |
Anthem BCBS
| Professional | $30.00 | $30.00 | $39.94 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $101.34 | $101.34 | $101.34 | |
Medcost
| Facility | $80.06 | $82.46 | $135.30 |