| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $645.65 | $1,096.48 | |
Aetna
| Professional | $316.23 | $316.23 | $436.52 | |
Anthem BCBS
| Facility | $1,258.93 | $2,137.96 | $2,884.03 | |
Anthem BCBS
| Professional | $3.98 | $3.98 | $3.98 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 |