| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.98 | $458.62 | $907.16 | |
Aetna
| Professional | $415.04 | $440.98 | $440.98 | |
Anthem BCBS
| Professional | $0.02 | $295.80 | $432.33 | |
Cigna
| Facility | $419.98 | $440.98 | $440.98 | |
Cigna
| Professional | $440.98 | $440.98 | $440.98 | |
Medcost
| Facility | $256.50 | $440.98 | $701.16 |