| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.95 | $177.95 | $182.24 | |
Aetna
| Professional | $171.52 | $177.95 | $182.24 | |
Anthem BCBS
| Professional | $182.24 | $182.24 | $184.06 | |
Cigna
| Facility | $182.24 | $182.24 | $182.24 | |
Cigna
| Professional | $182.24 | $182.24 | $182.24 |