| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $245.47 | $245.47 | |
Aetna
| Professional | $245.47 | $245.47 | $257.04 | |
Anthem BCBS
| Professional | $354.81 | $354.81 | $537.03 | |
Cigna
| Facility | $169.82 | $169.82 | $169.82 | |
Cigna
| Professional | $144.54 | $169.82 | $323.59 |