| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.52 | $402.67 | $1,043.01 | |
Aetna
| Professional | $79.52 | $226.22 | $226.22 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
Medcost
| Facility | $79.52 | $239.79 | $382.31 |