| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.74 | $299.74 | $299.74 | |
Aetna
| Professional | $299.74 | $299.74 | $454.77 | |
Anthem BCBS
| Facility | $95.88 | $95.88 | $185.05 | |
Anthem BCBS
| Professional | $81.48 | $95.88 | $129.43 | |
Cigna
| Professional | $107.58 | $126.56 | $126.56 |