| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.50 | $85.50 | $85.50 | |
Aetna
| Professional | $85.50 | $85.50 | $634.00 | |
Anthem BCBS
| Professional | $27.20 | $32.00 | $44.16 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $35.90 | $42.24 | $42.24 |