| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $154.34 | $154.34 | $154.34 | |
Anthem BCBS
| Professional | $39.75 | $53.00 | $53.00 | |
Cigna
| Facility | $131.19 | $131.19 | $131.19 | |
Cigna
| Professional | $81.59 | $196.01 | $196.01 |