| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.64 | $36.64 | $36.64 | |
Anthem BCBS
| Facility | $1.93 | $526.79 | $666.84 | |
Anthem BCBS
| Professional | $1.00 | $1.00 | $11.04 | |
Cigna
| Facility | $433.45 | $433.45 | $433.45 | |
Cigna
| Professional | $1.32 | $1.32 | $1.32 |