| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.05 | $336.05 | $336.05 | |
Aetna
| Professional | $336.05 | $336.05 | $3,694.91 | |
Ambetter
| Professional | $811.99 | $811.99 | $811.99 | |
Anthem BCBS
| Professional | $510.00 | $637.50 | $841.50 | |
Cigna
| Facility | $405.00 | $405.00 | $413.10 | |
Cigna
| Professional | $344.25 | $405.00 | $417.15 |