| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $144.54 | $407.38 | |
Aetna
| Professional | $125.89 | $169.82 | $223.87 | |
Anthem BCBS
| Facility | $81.28 | $323.59 | $426.58 | |
Anthem BCBS
| Professional | $81.28 | $81.28 | $134.90 | |
Cigna
| Facility | $45.71 | $75.86 | $75.86 |