| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.64 | $196.64 | $196.64 | |
Aetna
| Professional | $196.64 | $227.66 | $268.63 | |
Anthem BCBS
| Facility | $414.00 | $414.00 | $799.02 | |
Anthem BCBS
| Professional | $406.00 | $414.00 | $587.88 | |
Cigna
| Professional | $292.97 | $292.97 | $292.97 |