| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $419.20 | $419.20 | $419.20 | |
Anthem BCBS
| Facility | $168.18 | $21,121.00 | $45,387.00 | |
Anthem BCBS
| Professional | $142.94 | $168.18 | $232.08 | |
Cigna
| Professional | $1,809.10 | $1,912.08 | $2,290.89 |