| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $758.58 | $758.58 | |
Aetna
| Professional | $758.58 | $758.58 | $891.25 | |
Anthem BCBS
| Professional | $2.69 | $3.98 | $4.47 | |
Cigna
| Professional | $478.63 | $478.63 | $478.63 |