| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $161.53 | $161.53 | $161.53 | |
Aetna
| Professional | $73.12 | $161.53 | $215.37 | |
Anthem BCBS
| Facility | $268.00 | $268.00 | $517.24 | |
Anthem BCBS
| Professional | $250.00 | $268.00 | $380.56 | |
Cigna
| Professional | $86.12 | $86.12 | $86.12 |