| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.48 | $56.48 | $67.78 | |
Aetna
| Professional | $46.00 | $46.00 | $56.48 | |
Anthem BCBS
| Facility | $345.89 | $1,052.27 | $1,512.53 | |
Anthem BCBS
| Professional | $1.00 | $5.30 | $5.30 | |
Cigna
| Professional | $3.20 | $3.20 | $3.20 |