| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $181.97 | $181.97 | |
Aetna
| Professional | $169.82 | $177.83 | $181.97 | |
Anthem BCBS
| Professional | $154.88 | $199.53 | $245.47 | |
Cigna
| Facility | $181.97 | $181.97 | $181.97 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 |