| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $162.18 | $549.54 | |
Aetna
| Professional | $138.04 | $190.55 | $229.09 | |
Anthem BCBS
| Facility | $707.95 | $4,786.30 | $6,309.57 | |
Anthem BCBS
| Professional | $707.95 | $707.95 | $1,096.48 | |
Cigna
| Professional | $97.72 | $123.03 | $181.97 |