| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $767.94 | $767.94 | $1,780.07 | |
Aetna
| Professional | $86.13 | $459.79 | $767.94 | |
Anthem BCBS
| Professional | $903.51 | $903.51 | $903.51 | |
Cigna
| Professional | $217.98 | $217.98 | $217.98 |