| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.72 | $206.72 | $206.72 | |
Aetna
| Professional | $206.72 | $206.72 | $206.72 | |
Anthem BCBS
| Facility | $118.08 | $118.08 | $227.89 | |
Anthem BCBS
| Professional | $118.08 | $118.08 | $162.94 | |
Cigna
| Professional | $155.87 | $155.87 | $155.87 |