| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $295.12 | $295.12 | |
Aetna
| Professional | $128.82 | $154.88 | $295.12 | |
Anthem BCBS
| Facility | $4.17 | $4.17 | $8.13 | |
Anthem BCBS
| Professional | $4.17 | $4.17 | $10.23 | |
Cigna
| Professional | $5.01 | $5.50 | $34.67 |