| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.00 | $110.00 | $110.00 | |
Anthem BCBS
| Facility | $146.00 | $300.00 | $503.55 | |
Cigna
| Facility | $65.00 | $65.00 | $100.00 |
Pt/Group Rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.00 | $110.00 | $110.00 | |
Anthem BCBS
| Facility | $146.00 | $300.00 | $503.55 | |
Cigna
| Facility | $65.00 | $65.00 | $100.00 |