| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $29.51 | $29.51 | |
Aetna
| Professional | $28.84 | $28.84 | $37.15 | |
Anthem BCBS
| Facility | $346.74 | $346.74 | $676.08 | |
Anthem BCBS
| Professional | $79.43 | $346.74 | $524.81 | |
Cigna
| Facility | $1,071.52 | $1,071.52 | $1,071.52 | |
Cigna
| Professional | $870.96 | $870.96 | $870.96 |