| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.74 | $29.74 | $29.74 | |
Aetna
| Professional | $29.74 | $29.74 | $37.17 | |
Anthem BCBS
| Facility | $350.00 | $350.00 | $675.50 | |
Anthem BCBS
| Professional | $280.00 | $350.00 | $483.00 | |
Cigna
| Professional | $462.00 | $872.98 | $872.98 |