| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.40 | $80.40 | $80.40 | |
Aetna
| Professional | $131.72 | $131.72 | $132.65 | |
Anthem BCBS
| Professional | $36.54 | $43.00 | $58.05 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $48.25 | $56.76 | $56.76 |