| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.42 | $1.42 | $1.70 | |
Aetna
| Professional | $1.42 | $1.42 | $1.42 | |
Anthem BCBS
| Professional | $49.20 | $68.88 | $68.88 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |