| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $791.41 | $791.41 | $791.41 | |
Aetna
| Professional | $791.41 | $791.41 | $791.41 | |
Anthem BCBS
| Professional | $0.02 | $0.03 | $0.03 | |
Cigna
| Professional | $271.26 | $271.26 | $271.26 |