| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.09 | $0.09 | $0.09 | |
Aetna
| Professional | $0.09 | $0.09 | $0.09 | |
Anthem BCBS
| Facility | $1.73 | $1.73 | $3.34 | |
Anthem BCBS
| Professional | $1.73 | $1.73 | $2.45 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $0.06 | $2.27 | $2.27 |