| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.37 | $984.88 | $1,790.66 | |
Aetna
| Professional | $102.14 | $456.00 | $828.00 | |
Anthem BCBS
| Professional | $77.26 | $90.90 | $101.00 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 |