| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.59 | $163.59 | $163.59 | |
Aetna
| Professional | $163.59 | $189.43 | $218.12 | |
Anthem BCBS
| Facility | $700.00 | $700.00 | $1,351.00 | |
Anthem BCBS
| Professional | $700.00 | $700.00 | $994.00 | |
Cigna
| Professional | $157.43 | $157.43 | $157.43 |