| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $112.20 | $112.20 | $331.13 | |
Anthem BCBS
| Professional | $28.84 | $32.36 | $47.86 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $36.31 | $42.66 | $42.66 |