| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.91 | $162.18 | $162.18 | |
Anthem BCBS
| Professional | $3,235.94 | $3,235.94 | $3,235.94 | |
Cigna
| Facility | $66.07 | $467.74 | $812.83 | |
Cigna
| Professional | $275.42 | $275.42 | $346.74 |